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Spontaneous rupture of hemorrhagic thyroid nodules causing extensive laryngopharyngeal, neck, and chest hematoma

The Egyptian Journal of Otolaryngology volume 33, pages 128–130 (2017)Cite this article

Abstract

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.

References

  1. 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.

    Article  Google Scholar 

  2. Hor T, Lahiri SW. Bilateral thyroid hematomas after fine-needle aspiration causing acute airway obstruction. Thyroid 2008; 18: 567–569.

    Article  Google Scholar 

  3. Blaivas M, Hom DB, Younger JG. Thyroid gland hematoma after blunt cervical trauma. Am J Emerg Med 1999; 17:348–350.

    Article  CAS  Google Scholar 

  4. 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.

    Article  Google Scholar 

  5. Johnson N. The blood supply of the thyroid gland, I: the normal gland. Aust N Z J Surg 1954; 23:95–103.

    Article  Google Scholar 

  6. Shin JH, Jung SL, Baek JH, Kim JH. Rupture of benign thyroid tumors after radio-frequency ablation. Am J Neuroradiol 2011; 32: 2165–2169.

    Article  CAS  Google Scholar 

  7. Uppal HS, Ayshford CA, Syed MA. Spontaneous supraglottic haemorrhage in a patient receiving warfarin sodium treatment. Emerg Med J 2001; 18:406–407.

    Article  CAS  Google Scholar 

  8. Hughes J, Mulki O, Stephens J, Robinson A. Extensive laryngo-pharyngeal haematoma in a warfarinised patient requiring emergency tracheotomy. Internet J Otorhinolaryngol 2007.

    Google Scholar 

  9. 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.

    Google Scholar 

  10. 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.

    Article  Google Scholar 

Download references

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Authors and Affiliations

  1. Department of Otorhinolaryngology – Head & Neck Surgery, Miri Hospital, Cahaya Road, Miri, Sarawak, 98000, Malaysia

    Timothy L. W. Wong (MD) & Rohaizam Jaafar

Authors
  1. Timothy L. W. Wong
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  2. Rohaizam Jaafar
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Correspondence to Timothy L. W. Wong.

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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

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  • DOI: https://doi.org/10.4103/1012-5574.199405

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