- Case report
- Open Access
Spontaneous rupture of hemorrhagic thyroid nodules causing extensive laryngopharyngeal, neck, and chest hematoma
The Egyptian Journal of Otolaryngology volume 33, pages128–130(2017)
We report a rare case of spontaneous rupture of a thyroid nodule causing extensive soft tissue hematoma involving the laryngopharyngeal, neck, and chest regions in a 41-year-old healthy woman. Spontaneous hematoma secondary to a thyroid nodule is a rare occurrence. Hematoma usually tends to be secondary to blunt cervical trauma, fine needle aspiration for cytology, and usage of anticoagulants such as heparin or warfarin. It is crucial to assess the patient’s condition and airway in managing a case of spontaneous hematoma secondary to a ruptured thyroid nodule as this would determine the subsequent management. In this case, the patient presented with no obstructive signs or symptoms, and thus was managed conservatively. The hematoma subsequently resolved spontaneously.
Kokatnur L, Rudrappa M, Mittadodla P. Acute airway obstruction due to spontaneous intrathyroid hemorrhage precipitated by anticoagulation therapy. Indian J Crit Care Med 2014; 18: 825–827.
Hor T, Lahiri SW. Bilateral thyroid hematomas after fine-needle aspiration causing acute airway obstruction. Thyroid 2008; 18: 567–569.
Blaivas M, Hom DB, Younger JG. Thyroid gland hematoma after blunt cervical trauma. Am J Emerg Med 1999; 17:348–350.
Testini M, Logoluso F, Lissidini G, Gurrado A, Campobasso G, Cortese R, et al. Emergency total thyroidectomy due to non traumatic disease. Experience of a surgical unit and literature review. World J Emerg Surg 2012; 7:9.
Johnson N. The blood supply of the thyroid gland, I: the normal gland. Aust N Z J Surg 1954; 23:95–103.
Shin JH, Jung SL, Baek JH, Kim JH. Rupture of benign thyroid tumors after radio-frequency ablation. Am J Neuroradiol 2011; 32: 2165–2169.
Uppal HS, Ayshford CA, Syed MA. Spontaneous supraglottic haemorrhage in a patient receiving warfarin sodium treatment. Emerg Med J 2001; 18:406–407.
Hughes J, Mulki O, Stephens J, Robinson A. Extensive laryngo-pharyngeal haematoma in a warfarinised patient requiring emergency tracheotomy. Internet J Otorhinolaryngol 2007.
Marta Pérez NM, Enjuto D, Molero SS, Merino NH, García RS, et al. Cervical hematoma secondary to spontaneous rupture of a thyroid nodule. JSM Clin Case Rep 2014; 2:1064.
Lee JK, Lee DH, Cho SW, Lim SC. Acute airway obstruction by spontaneous hemorrhage into thyroid nodule. Indian J Otolaryngol Head Neck Surg 2011; 63:387–389.
This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
About this article
Cite this article
Wong, T.L.W., Jaafar, R. Spontaneous rupture of hemorrhagic thyroid nodules causing extensive laryngopharyngeal, neck, and chest hematoma. Egypt J Otolaryngol 33, 128–130 (2017). https://doi.org/10.4103/1012-5574.199405
- chest hematoma
- laryngopharyngeal hematoma
- neck hematoma
- thyroid hemorrhage
- thyroid nodule