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Thyroid gland rupture caused by blunt trauma to the neck.

Hara H, Hirose Y, Yamashita H - BMC Res Notes (2016)

Bottom Line: Contrast-enhanced computed tomography (CT) revealed rupture of the right lobe of the thyroid gland accompanied by a large hematoma extending from the neck to the mediastinum.Under general anesthesia, the right lobe was resected and the hematoma was evacuated.When suspected, CT should be performed to confirm the diagnosis determine the optimal treatment.

View Article: PubMed Central - PubMed

Affiliation: Department of Otolaryngology, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, 755-8505, Japan. harahiro@yamaguchi-u.ac.jp.

ABSTRACT

Background: Thyroid rupture following blunt trauma is extremely rare, and neck pain without swelling may be the only presenting symptom. However, hemorrhage and hematoma subsequently causes severe tracheal compression and respiratory distress.

Case presentation: A 71-year-old Japanese woman visited our emergency room with a complaint of increasing right-sided neck pain at the thyroid cartilage level after she tripped and accidentally hit her neck against a pole 3 h back. On admission, her vital signs were stable. There was no swelling or subcutaneous emphysema. Laryngeal endoscopy revealed mild laryngeal edema, although there was no impairment in vocal fold mobility on either side. Contrast-enhanced computed tomography (CT) revealed rupture of the right lobe of the thyroid gland accompanied by a large hematoma extending from the neck to the mediastinum. Under general anesthesia, the right lobe was resected and the hematoma was evacuated.

Conclusion: Only a few isolated cases of thyroid rupture caused by blunt neck trauma have been reported in patients with normal thyroid glands and neck pain without swelling may be the only presenting symptom. When suspected, CT should be performed to confirm the diagnosis determine the optimal treatment.

No MeSH data available.


Related in: MedlinePlus

Preoperative image of the patients neck. Erythema can be noted at the trauma site at the level of the thyroid cartilage
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Fig1: Preoperative image of the patients neck. Erythema can be noted at the trauma site at the level of the thyroid cartilage

Mentions: A 71-year-old woman presented to our emergency room with a complaint of increasing right-sided neck pain at the thyroid cartilage level after she accidentally tripped and hit her neck against a pole 3 h back. At the time of admission, her vital signs were stable without evidence of respiratory distress, and there was no swelling or subcutaneous emphysema (Fig. 1). Laryngeal endoscopy revealed normal vocal fold mobility and mild edema of the arytenoids.Fig. 1


Thyroid gland rupture caused by blunt trauma to the neck.

Hara H, Hirose Y, Yamashita H - BMC Res Notes (2016)

Preoperative image of the patients neck. Erythema can be noted at the trauma site at the level of the thyroid cartilage
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4759855&req=5

Fig1: Preoperative image of the patients neck. Erythema can be noted at the trauma site at the level of the thyroid cartilage
Mentions: A 71-year-old woman presented to our emergency room with a complaint of increasing right-sided neck pain at the thyroid cartilage level after she accidentally tripped and hit her neck against a pole 3 h back. At the time of admission, her vital signs were stable without evidence of respiratory distress, and there was no swelling or subcutaneous emphysema (Fig. 1). Laryngeal endoscopy revealed normal vocal fold mobility and mild edema of the arytenoids.Fig. 1

Bottom Line: Contrast-enhanced computed tomography (CT) revealed rupture of the right lobe of the thyroid gland accompanied by a large hematoma extending from the neck to the mediastinum.Under general anesthesia, the right lobe was resected and the hematoma was evacuated.When suspected, CT should be performed to confirm the diagnosis determine the optimal treatment.

View Article: PubMed Central - PubMed

Affiliation: Department of Otolaryngology, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, 755-8505, Japan. harahiro@yamaguchi-u.ac.jp.

ABSTRACT

Background: Thyroid rupture following blunt trauma is extremely rare, and neck pain without swelling may be the only presenting symptom. However, hemorrhage and hematoma subsequently causes severe tracheal compression and respiratory distress.

Case presentation: A 71-year-old Japanese woman visited our emergency room with a complaint of increasing right-sided neck pain at the thyroid cartilage level after she tripped and accidentally hit her neck against a pole 3 h back. On admission, her vital signs were stable. There was no swelling or subcutaneous emphysema. Laryngeal endoscopy revealed mild laryngeal edema, although there was no impairment in vocal fold mobility on either side. Contrast-enhanced computed tomography (CT) revealed rupture of the right lobe of the thyroid gland accompanied by a large hematoma extending from the neck to the mediastinum. Under general anesthesia, the right lobe was resected and the hematoma was evacuated.

Conclusion: Only a few isolated cases of thyroid rupture caused by blunt neck trauma have been reported in patients with normal thyroid glands and neck pain without swelling may be the only presenting symptom. When suspected, CT should be performed to confirm the diagnosis determine the optimal treatment.

No MeSH data available.


Related in: MedlinePlus