Thyroid Pneumatosis Following Fishbone Ingestion: A Rare Case Report.

IF 0.8 Q4 ENDOCRINOLOGY & METABOLISM

Case Reports in Endocrinology Pub Date : 2026-03-03 eCollection Date: 2026-01-01 DOI:10.1155/crie/4133056

Bruna Pimentel, Luís Baptista, Inês Medeiros, Beatriz Lança, Ana Coutinho Santos, Clara Cunha, João Sequeira Duarte

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Abstract

Background: Thyroid pneumatosis is an extremely rare condition, previously reported only once as a complication of an ultrasound-guided thyroid fine needle aspiration (FNA).

Case report: A 70-year-old male sought emergency care after experiencing a foreign body sensation in his throat. He was diagnosed with a retropharyngeal abscess caused by upper digestive tract perforation from fishbone ingestion, which was surgically extracted. Postoperative day 3, a neck computed tomography (CT) revealed gas bubbles within the thyroid parenchyma, indicative of thyroid pneumatosis, likely leading to destructive thyroiditis (TSH 0.109 µUI/mL, free T4 of 27.1 pmol/L, and free T3 of 4.08 pmol/L). A multidisciplinary team opted for a conservative approach, and the patient showed a favorable recovery. Thyroid function normalized within 2 months (TSH 2.44 mUI/mL, free T4 13.6 pmol/L, and free T3 4.58 pmol/L).

Conclusion: Thyroid pneumatosis should be recognized as a potential rare complication following esophageal perforation. This is the first documented case linking destructive thyroiditis to thyroid pneumatosis.

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鱼骨误食致甲状腺肺病1例报告。

背景：甲状腺肺肿是一种极为罕见的疾病，以前仅报道过一次超声引导甲状腺细针穿刺（FNA）的并发症。病例报告：一名70岁男性在喉咙内有异物感后寻求紧急护理。他被诊断为咽后脓肿，是由进食鱼骨引起的上消化道穿孔引起的，并通过手术取出。术后第3天，颈部CT显示甲状腺实质内有气泡，提示甲状腺肺肿，可能导致破坏性甲状腺炎（TSH 0.109 μ UI/mL，游离T4 27.1 pmol/L，游离T3 4.08 pmol/L）。一个多学科的团队选择了保守的方法，病人表现出良好的恢复。甲状腺功能在2个月内恢复正常（TSH 2.44 mUI/mL，游离T4 13.6 pmol/L，游离T3 4.58 pmol/L）。结论：甲状腺肺肿是食管穿孔后的一种潜在的罕见并发症。这是第一个将破坏性甲状腺炎与甲状腺肺病联系起来的文献病例。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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