Discharging Sinus as a Delayed Complication of Hemithyroidectomy: A Rare Case Report

Abstract

Thyroidectomy is known to have a few number of complications such as wound infection, haematoma, recurrent laryngeal nerve or superior laryngeal nerve palsy, hypothyroidism, hypocalcemia, hypertrophied scar formation, and these complications are even less in cases of hemithyroidectomy. We report a rare case of discharging skin sinus of the neck following right hemithyroidectomy which was reported after 12 months of surgery as a late complication. Ultrasonography revealed non fluid retaining sinus tract extending from skin in neck and going deep till the thyroid bed, towards right side at site of right lobe. Excision of sinus tract was done in toto and on incising the specimen, multiple knotted suture materials were found. Histopathology report showed fibrocollagenous stroma with non caseating granuloma with multinucleate giant cell (suture granuloma). The management and review of literature in related to case has been discussed in this case report.