Management of a Spontaneous Thyroid Nodule Hemorrhage Causing Acute Airway Obstruction

IF 0.7 Q4 OTORHINOLARYNGOLOGY
H. Başak, L. Yücel, A. Hasanova, S. Beton
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引用次数: 3

Abstract

Spontaneous intrathyroidal hemorrhage (ITH) causing airway obstruction is relatively rare. We report a case with no known history of a thyroid disease that presented with an ITH causing severe airway obstruction as a life-threatening situation. A 57-year-old female patient presented to the emergency department with sudden onset of swelling of the anterior neck, severe dyspnea, and unconsciousness. Computerized tomography scan after intubation revealed a 6.2x5.3 cm mass originating from the right thyroid lobe and compressing the airway. Drainage of hematoma with right lobectomy was done. When the patient was extubated one day after the surgery the vocal cords were found to be mobile. She was discharged after two days and there was no need for further intervention during the one-month follow-up. Spontaneous life-threatening ITHs are rare entities. Immediate assessment of airway obstruction and achieving a secure airway are crucial. Besides drainage of hematoma, thyroidectomy may also be necessary.
自发性甲状腺结节性出血致急性气道阻塞的处理
引起气道阻塞的自发性甲状腺内出血(ITH)相对罕见。我们报告了一例无甲状腺病史的病例,该病例表现为ITH导致严重气道阻塞,危及生命。一名57岁的女性患者在急诊科就诊时突然出现前颈部肿胀、严重呼吸困难和意识不清。插管后的计算机断层扫描显示,右侧甲状腺叶有6.2x5.3厘米的肿块,压迫气道。右侧肺叶切除术引流血肿。当患者在手术后一天拔管时,发现声带是活动的。她在两天后出院,在一个月的随访中无需进一步干预。自发性危及生命的ITH是罕见的。立即评估气道阻塞并获得安全的气道至关重要。除血肿引流外,甲状腺切除术可能也是必要的。
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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