Airway obstruction caused by acute transient thyroid swelling following fine needle aspiration biopsy of thyroid gland

Hashimoto, Atsushi; Kinoshita, Hiroyuki; Isobe, Hideo; Sakakibara, Kensuke; Fujita, Yoshihito; Hatakeyama, Noboru; Fujiwara, Yoshihiro

doi:10.3918/jsicm.25_195

Cited by 2 publications

(1 citation statement)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…19 However, in the Japanese language literature, there has been a case of acute thyroid swelling after FNA that required intubation and airway management, suggesting that strict monitoring is recommended. 22 It remains unclear if the administration of steroids may alter the course or duration of acute thyroid swelling; however, intravenous administration of hydrocortisone may have helped to reduce thyroid swelling within 20 hours in a previously reported case. 10 One of the previous case reports involved a patient who underwent a repeat FNA 1 week after experiencing acute thyroid swelling; the repeat examination did not result in any complications.…”

Section: Discussionmentioning

confidence: 90%

Acute diffuse thyroid swelling after fine‐needle aspiration: A case report and review of the literature

Imaoka

Nishihara

Nambu

et al. 2021

J of Clinical Ultrasound

View full text Add to dashboard Cite

Fine-needle aspiration (FNA) is the first-line and a cost-effective examination method of nonfunctional thyroid nodules. Acute transient thyroid swelling after an FNA is a rare complication, and to date, only 14 cases have been reported in the English literature. Herein, we report a case of a 26-year-old woman with acute transient thyroid swelling, which occurred after an ultrasound-guided FNA of a thyroid nodule.Although the patient had undergone an FNA without complication 2 years previously, the second FNA caused acute thyroid swelling. The present case emphasizes the potential risk of acute thyroid swelling associated with every FNA procedure.

show abstract

Section: Discussionmentioning

confidence: 90%

Acute diffuse thyroid swelling after fine‐needle aspiration: A case report and review of the literature

Imaoka

Nishihara

Nambu

et al. 2021

J of Clinical Ultrasound

View full text Add to dashboard Cite

show abstract

Important Role of Ultrasonography Immediately After Fine-Needle Aspiration Biopsy of Thyroid Nodules to Detect Acute Transient Thyroid Swelling

Yoshimoto,

Satoh,

Shindo

et al. 2024

Cureus

View full text Add to dashboard Cite

Objective: We aimed to determine whether early detection of acute transient thyroid swelling (ATTS) is possible using ultrasonography (US) surveillance immediately after fine-needle aspiration biopsy (FNAB) and discuss the usefulness of routine US after FNAB. Methods: We retrospectively evaluated the incidence, clinical features, and US and computed tomography findings of ATTS in patients with thyroid nodules who underwent FNABs at our hospital. The study period was divided into two time periods: only symptomatic patients after FNAB were examined using US in the first period (period A: January 2016 to November 2020), whereas all patients were routinely examined using US shortly after FNAB in the second period (period B: December 2020 to December 2022). Results: We found that the frequency of ATTS increased from 0.18% (10/5,685) in period A to 1.58% (31/1,958) in period B because the majority of ATTS cases in period B were asymptomatic. Follow-up US performed 15 minutes to 3 hours later confirmed no exacerbation of thyroid swelling in patients diagnosed with ATTS during period B. Routine US examinations, shortly after FNAB, significantly reduced the number of return visits after discharge (from 5/10 to 2/31, p=0.006). Furthermore, the incidence of unilateral swelling was higher than previously reported. Conclusion: Routine US examinations shortly after FNAB may be useful in identifying ATTS regardless of the presence of symptoms; moreover, they may reduce patients’ return visits after leaving the hospital. It is also important to inform patients that delayed complications are possible and that severe cases, although rare, do exist.

show abstract

Airway obstruction caused by acute transient thyroid swelling following fine needle aspiration biopsy of thyroid gland

Cited by 2 publications

References 4 publications

Acute diffuse thyroid swelling after fine‐needle aspiration: A case report and review of the literature

Acute diffuse thyroid swelling after fine‐needle aspiration: A case report and review of the literature

Important Role of Ultrasonography Immediately After Fine-Needle Aspiration Biopsy of Thyroid Nodules to Detect Acute Transient Thyroid Swelling

Contact Info

Product

Resources

About