Acute Airway Compromise Secondary to Traumatic Thyroid Hemorrhage

Armstrong, William B.; Funk, Gerry F.; Rice, Dale H.

doi:10.1001/archotol.1994.01880280055010

Cited by 27 publications

(16 citation statements)

References 8 publications

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“…However, massive hemorrhage into a thyroid nodule can result in a rapidly expanding hematoma with compromise of the airway. Such hemorrhagic events may occur spontaneously, after exertion, or after trauma (blunt or fine-needle aspiration) [1][2][3][4][5][6][7]. We report a case of acute airway obstruction due to spontaneous hemorrhage into a thyroid nodule.…”

Section: Introductionmentioning

confidence: 99%

Acute Airway Obstruction by Spontaneous Hemorrhage into Thyroid Nodule

Lee

Cho

et al. 2011

Indian J Otolaryngol Head Neck Surg

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Section: Introductionmentioning

confidence: 99%

Acute Airway Obstruction by Spontaneous Hemorrhage into Thyroid Nodule

Lee

Cho

et al. 2011

Indian J Otolaryngol Head Neck Surg

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“…The trauma may be direct impact, but cervical hyperflexion/extension, deceleration injuries, and even Valsalva manoeuvres can all cause thyroid haemorrhage [3]. The onset of airway compromise is also variable: it may develop within minutes [4], days [5], or not at all [6]. Other than frank airway compromise and respiratory distress, symptoms of thyroid haematoma include a painful neck mass, dysphagia, and hoarseness [5].…”

Section: Discussionmentioning

confidence: 99%

Surgical Management of Life-Threatening Thyroid Haematoma following Occult Blunt Neck Trauma

Ved

Patel

Stechman

2016

Case Reports in Endocrinology

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A 42-year-old man arrived at the emergency department in severe respiratory distress, requiring immediate intubation and ventilation. An emergency computed tomography (CT) neck scan identified a substantial haematoma within a multinodular goitre, necessitating an emergency total thyroidectomy. It was later discovered that the patient had been the victim of an assault involving blunt trauma to the anterior neck. Five days postoperatively the patient was extubated and was well enough to self-discharge the following day. Pathology revealed the lesion to be a ruptured follicular adenoma within his multinodular goitre. Signs of this rare but life-threatening condition may be subtle on initial presentation, particularly if the patient is obtunded. Patients with suspected blunt neck trauma should be observed for signs of respiratory distress. If this develops, the patient should be intubated to facilitate CT scan, and if thyroid haematoma is confirmed, emergency thyroidectomy is the definitive treatment.

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“…Reported cases of blunt thyroid injury have generally occurred in trauma patients with preexisting goiter, 8 -11 because the injury is extremely rare in those without goiter. [2][3][4][5][6][7] Our patient had no previous or present history of nontraumatic thyroid disease; serum TSH was low at admission to the hospital, whereas TSH receptor antibody was normal. These findings suggest that increased thyroid hormone concentrations resulted directly from traumatic rupture of thyroid follicles.…”

Section: Discussionmentioning

confidence: 99%

“…1 Most of the reported cases have emphasized the need to closely monitor patients with thyroid injuries so that possible upper airway obstruction caused by an associated hematoma can be detected promptly. [2][3][4][5][6] Previously, only one article reported thyrotoxicosis that resulted from increased serum thyroid hormone concentrations after direct thyroid injury. 7 Thyrotoxicosis enhances the sympathetic nervous system activity that can lead to thyroid storm.…”

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confidence: 99%