TITLE

Blunt Trauma to the Thyroid: A Case Report

AUTHOR(S)
Weeks, Christine; Moore, Francis D.; Ferzoco, Stephen J.; Gates, Jonathan
PUB. DATE
June 2005
SOURCE
American Surgeon;Jun2005, Vol. 71 Issue 6, p518
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Thyroid injury is a rare phenomenon in cases of blunt neck trauma. Symptoms are often subtle or not present on initial exam and can be rapidly life-threatening when airway compromise ensues. We describe the case of a 50-year-old woman who developed neck pain and swelling, dysphagia, and hoarseness after a rear-end collision in which she was the restrained driver, hitting her anterior neck against the steering wheel. Neck CT revealed fragmentation and hematoma within the right thyroid lobe. Arteriogram showed no vascular injury to the neck. The patient was observed in the ICU and was discharged home 3 days later without operative intervention. We believe that in the acute setting, a stable traumatic thyroid hematoma without airway encroachment may be safely observed. Increasing size or compromise of airway integrity should be indications for early intubation and neck exploration.
ACCESSION #
17342338

 

Related Articles

  • Thyroid storm induced by trauma due to spear fishing-gun trident impaction in the neck. Delikoukos, Stylianos; Mantzos, Fotis // Emergency Medicine Journal;May2007, Vol. 24 Issue 5, p355 

    The article describes the case of a 32-year old fisherman who was admitted to the emergency department for thyroid storm induced by trauma due to spear fishing-gun trident impaction in the neck. Based on the physical examination on the patient, the researchers determined low-grade fever,...

  • Dysphagia and Neck Swelling in a Case of Undiagnosed Lhermitte-Duclos Disease and Cowden Syndrome. Hu, Zishuo Ian; Bangiyev, Lev; Seidman, Roberta J.; Cohen, Jules A. // Case Reports in Oncological Medicine;9/10/2015, Vol. 2015, p1 

    We report a case of a 37-year-old woman presenting with dysphagia and thyroid masses who was subsequently diagnosed with Lhermitte-Duclos disease (LDD) based on MRI scan and histopathology. Additional imaging subsequently revealed the presence of thyroid nodules and bilateral breast cancers....

  • COMPARISON OF OUTCOME OF SOLITARY THYROID NODULE SURGERY WITH AND WITHOUT DRAINAGE. Iqbal, Muhammad Mansoor; Jawed, Muhammad; Khan, Muhammad Iqbal; Shaikh, Shazia Ubed; Shaikh, Ubedullah // Gomal Journal of Medical Sciences;Jul-Sep2015, Vol. 13 Issue 3, p156 

    Background: Majority of surgeons place a drain following thyroid surgery to evacuate collected blood and serum. The aim of this study was to compare the outcome of thyroid surgery with and without drainage. Material & Methods: This randomized clinical trial was conducted at Surgical Department,...

  • Effectiveness of the thyroid scan in evaluation of the... Sabel, Michael S.; Staren, Edgar D. // American Surgeon;Jul1997, Vol. 63 Issue 7, p660 

    Evaluates the role of thyroid scan in the management of the solitary thyroid nodule. Methods used in the study; Histology of 770 surgically excised thyroid; Distribution of malignant nodules by age; Primary goal in the evaluation of the solitary thyroid nodule.

  • Remnant Large Retrosternal Thyroid Goiter after Thyroidectomy. GaliƱanes, Edgar Luis; Caron, Norman // American Surgeon;Apr2012, Vol. 78 Issue 4, pE222 

    The article describes a rare case of an endemic goiter in a 40-year-old Nigerian woman who underwent an emergent neck exploration for airway compromise secondary to a remnant large substernal thyroid goiter after thyroidectomy. Details of the thyroidectomy procedure performed on the patient are...

  • Columnar cell variant of papillary thyroid carcinoma. Barton III, Chester P.; Brennan, Joseph A.; Lowry, Thomas R.; Russell, Michael J. // ENT: Ear, Nose & Throat Journal;Oct2006, Vol. 85 Issue 10, p640 

    The article discusses the case of a 53-year-old woman with a neck mass identified as a columnar cell variant of papillary thyroid carcinoma. The woman was referred to a clinic for evaluation of a left anterior neck mass that was consistent with a thyroid goiter. She denied any systemic symptoms....

  • Nodular thyroid disease in the erderly. Belfiore, A. // BMC Geriatrics;2010 Supplement 1, Vol. 10, Special section p1 

    The article offers information on the occurrence of thyroid nodules among older people. The possibilities of either a hyperfunctioning nodule which can induce thyrotoxicosis or a malignant nodule are two pathological conditions to consider when evaluating a thyroid nodule. It cites that there...

  • Historical Evolution of Thyroid Surgery: From the Ancient Times to the Dawn of the 21st Century. Sakorafas, George H. // World Journal of Surgery;Aug2010, Vol. 34 Issue 8, p1793 

    Thyroid diseases (mainly goiter) have been recognized for more than 3500 years. Knowledge of the nature of these diseases was, of course, limited at that time. Thyroid surgery was conceived by the ancients, but it was limited to rare attempts to remove part of an enlarged thyroid gland in cases...

  • Endoscopic transaxillary approach to the thyroid gland: our early experience. Duncan, T.; Rashid, Q.; Speights, F.; Ejeh, I.; Duncan, T D // Surgical Endoscopy;Dec2007, Vol. 21 Issue 12, p2166 

    Background: Thyroid nodules are a common occurrence in clinical practice today. Most nodules are benign and can be managed nonoperatively with careful medical follow-up. However surgical extirpation occasionally becomes necessary to exclude a malignant neoplastic process. Although...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics