Extensive Neck Haematoma as an Extremely Rare Presentation of Thyroid Carcinoma: A Case Report

Hui, Lo Ren; Ibrahim, Fairuz Mohd; Abdullah, Khairudin; Ahmad, Nasriah; Hassan, Fazilah; Mohamad, Irfan

doi:10.31344/ijhhs.v4i3.205

Cited by 2 publications

(1 citation statement)

References 3 publications

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“…In that case, the pathology was anaplastic thyroid carcinoma with intra-operative finding of tracheal invasion. 7 The history, clinical examination and imaging are important for decision-making in the management of abrupt neck swelling due to thyroid nodule bleeding. A detailed history taking and a meticulous physical examination will rule out others differential of sudden neck swelling thus will lead to a targeted treatment.…”

Section: Discussionmentioning

confidence: 99%

Hemorrhagic thyroid nodule causing shifted airway

Fauzi

Nasir

Mohamad

et al. 2021

Bangladesh J Med Sci

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Sudden rapidly increased neck swelling due to spontaneous intranodular bleeding of the thyroid gland is rare occurrence but can be considered. Here, we report an extremely rare case of spontaneous rupture intrathyroidal nodule in a healthy young female who had no history of neck swelling, thyroid disease or neck trauma. She was closely observed and treated conservatively as there was no compromised airway. She was discharged well after completed intravenous antibiotic. Bangladesh Journal of Medical Science Vol.20(3) 2021 p.678-681

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Section: Discussionmentioning

confidence: 99%

Hemorrhagic thyroid nodule causing shifted airway

Fauzi

Nasir

Mohamad

et al. 2021

Bangladesh J Med Sci

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The Contentious Management of Anaplastic Thyroid Carcinoma with Acute Airway Obstruction during COVID-19 Pandemic

Safian

Ibrahim

Isa

et al. 2021

UIJ

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There are many important concerns and issues raised in managing acute airway obstruction cases with regards to the current COVID-19 pandemic. As a further matter, a patient with a huge thyroid mass in anaplastic thyroid carcinoma (ATC) presenting with impending airway obstruction poses treatment challenges, as immediate active intervention is necessary despite the risk of spreading of COVID-19 viruses. The unknown status of COVID-19 of the patient will add additional concerns during active assessment and treatment as patients with this undifferentiated thyroid carcinoma commonly deteriorate fast. This carcinoma may also invade the trachea and result in upper airway obstruction leading to a fatal outcome. Therefore, an appropriate treatment strategy is essential. This report highlights a case of an ATC patient who presented with diffuse cemented-hard anterior neck, whereby the whole management of ATC with acute airway obstruction during this COVID-19 pandemic is purely contentious and challenging. The issue of providing artificial ventilation either via intubation or tracheostomy is made more complicated as the patient presents with an acute upper airway obstruction whilst the COVID-19 status is unknown. While endotracheal intubation approach was not easy, the trachea was also difficult to be identified externally due to the huge ‘cemented-hard’ mass plastered over the compressed trachea. Due to the advanced disease, surgical intervention was not an option.

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Extensive Neck Haematoma as an Extremely Rare Presentation of Thyroid Carcinoma: A Case Report

Cited by 2 publications

References 3 publications

Hemorrhagic thyroid nodule causing shifted airway

Hemorrhagic thyroid nodule causing shifted airway

The Contentious Management of Anaplastic Thyroid Carcinoma with Acute Airway Obstruction during COVID-19 Pandemic

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