Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
권호 표지
DOI QR코드

DOI QR Code

A case of Thyroid Hematoma Managed by Conservative Treatment

갑상선 혈종의 보존적 치료 1예

  • Jung, Young-Do (Department of Otolaryngology-Head and Neck Surgery, School of Medicine, Catholic University of Daegu) ;
  • Kim, Deok Su (Department of Otolaryngology-Head and Neck Surgery, School of Medicine, Catholic University of Daegu) ;
  • Son, Ho Jin (Department of Otolaryngology-Head and Neck Surgery, School of Medicine, Catholic University of Daegu) ;
  • Kim, Jeong Kyu (Department of Otolaryngology-Head and Neck Surgery, School of Medicine, Catholic University of Daegu)
  • 정영도 (대구가톨릭대학교 의과대학 이비인후과학교실) ;
  • 김덕수 (대구가톨릭대학교 의과대학 이비인후과학교실) ;
  • 손호진 (대구가톨릭대학교 의과대학 이비인후과학교실) ;
  • 김정규 (대구가톨릭대학교 의과대학 이비인후과학교실)
  • Received : 2017.09.18
  • Accepted : 2018.04.30
  • Published : 2018.05.30
Download PDF
⟨ Previous Next ⟩

Abstract

Thyroid hematoma secondary to a blunt trauma is a rare problem. Despite the rarity, it can be a life-threatening condition with tracheal compression. Both surgical exploration and conservative management have been suggested for thyroid hematoma. However, there is still controversy on the optimal treatment. A 67-year old man who progressed severe dyspnea and neck swelling was transferred to the emergency department with a blunt anterior neck trauma after traffic accident. Contrast enhanced neck computed tomography scan showed huge hematoma within the right thyroid gland and slight tracheal deviation without prominent airway obstruction. One day later, anterior neck swelling was aggravated and the patient was intubated to prevent airway obstruction. After 3 days, hematoma resolution was revealed and extubation was done. We report this case with a review of literature.

Keywords

References

  1. Noordzij JP, Goto MM. Airway compromise caused by hematoma after thyroid fine-needle aspiration. Am J Otolaryngol. 2005;26:398-9. https://doi.org/10.1016/j.amjoto.2005.02.016
  2. Park BJ, Kim BW, Lee JH, Lee JS. A Case of Acute Airway Obstruction due to Intracystic Hemorrhage of Thyroid Papillary Cancer. Korean J Otorhinolaryngol-Head Neck Surg. 2004;47: 675-8.
  3. Oka Y, Nishijima J, Azuma T, Inada K, Miyazaki S, Nakano H, et al. Blunt thyroid trauma with acute hemorrhage and respiratory distress. J Emerg Med. 2007;32:381-5. https://doi.org/10.1016/j.jemermed.2006.08.019
  4. Donatini G. Persistent dyspnea following thyroid hematoma after neck blunt trauma. Updates Surg. 2012;64:69-71. https://doi.org/10.1007/s13304-011-0076-5
  5. Ahrens J, Juttner B, Heidt S, Scheinichen D, Przemeck M. Thyroid gland rupture: a rare case of respiratory distress. J Emerg Med. 2012;43:41-3. https://doi.org/10.1016/j.jemermed.2009.05.010
  6. Hsieh KC, Chou FF, Lee CH. Nonsurgical treatment of thyroid injury after blunt cervical trauma. American Journal of Emergency Medicine. 2000;18:0739-41. https://doi.org/10.1016/S0735-6757(00)90313-9
  7. Park CH, Oh KK, Kim EK, Kim MJ, Jeong J, Son EJ. Thyroid Gland Rupture After Blunt Cervical Trauma. Journal of Ultrasound in Medicine. 2006;25:943-6. https://doi.org/10.7863/jum.2006.25.7.943
  8. Stunell H, O'Brien J, Benfayed W, Torreggiani WC. Thyroid Gland Rupture After Blunt Cervical Trauma. Journal of Ultrasound in Medicine. 2007;26:992. https://doi.org/10.7863/jum.2007.26.7.992
  9. Hara H, Hirose Y, Yamashita H. Thyroid gland rupture caused by blunt trauma to the neck. BMC Res Notes. 2016;9:114. https://doi.org/10.1186/s13104-016-1932-7
  10. Ved R, Patel N, Stechman M. Surgical Management of Life-Threatening Thyroid Haematoma following Occult Blunt Neck Trauma. Case Rep Endocrinol. 2016;4:76-95.
  11. Tsukahara K, Sato K, Yumoto T, Iida A, Nosaka N, Terado M. Soft tissue hematoma of the neck due to thyroid rupture with unusual mechanism. Int J Surg Case Rep. 2016;26:217-20. https://doi.org/10.1016/j.ijscr.2016.08.002
  12. Shin J, Ji Y, Jeong J, Lee S, Tae K. Two cases of thyroid rupture after blunt cervical trauma. Ear, nose, & throat journal. 2015;94:E21-E30.
  13. Kim JH, Wi MW, Hong YH, Lee SY. A Case of Diffuse Intracapsular Hemorrhage of Thyroid Gland after Fine Needle Aspiration Biopsy. Korean J Otorhinolaryngol-Head Neck Surg. 2007;50:178-81.
  14. Roh JL. Intrathyroid hemorrhage and acute upper airway obstruction after fine needle aspiration of the thyroid gland. Laryngoscope. 2006;116:154-6. https://doi.org/10.1097/01.mlg.0000187396.18016.d0
  15. Na YM, Lee SU, Choi IS, Choi WJ. A case of thyroid hematoma complicated with unexpected airway obstruction by blunt cervical trauma. The Koreran journal of Endocrine Surgery. 2010;10:39-41. https://doi.org/10.16956/kjes.2010.10.1.39