Ved, Ronak, Patel, Neil and Stechman, Michael
2016.
Surgical management of life-threatening thyroid haematoma following occult blunt neck trauma.
Case Reports in Endocrinology
2016
, 4307695.
10.1155/2016/4307695
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Abstract
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.
Item Type: | Article |
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Date Type: | Publication |
Status: | Published |
Schools: | Medicine |
Additional Information: | This is an open access article distributed under the Creative Commons Attribution License, |
Publisher: | Hindawi |
ISSN: | 2090-6501 |
Funders: | - |
Date of First Compliant Deposit: | 1 August 2022 |
Date of Acceptance: | 25 September 2016 |
Last Modified: | 20 May 2023 19:11 |
URI: | https://orca.cardiff.ac.uk/id/eprint/149148 |
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