TITLE

Management of Thyroid Gland Hemorrhage After Blunt Trauma: A Case Report and Review of the Literature

AUTHOR(S)
Schipper, Ellis E.; Kool, Digna R.; Wobbes, Theo; Geeraedts, Jr., Leo M. G.
PUB. DATE
December 2009
SOURCE
European Journal of Trauma & Emergency Surgery;Dec2009, Vol. 35 Issue 6, p587
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Thyroid hemorrhage is a rare injury in patients suffering from blunt trauma to the neck. The case of a 60-year-oldwoman is describedwho developed increasing swelling in the neck with a mild inspiratory stridor after a fall from her bed. The fall had resulted in hemorrhage within a previously existing goiter. Further analysis by means of a CT scan revealed severe tracheal compression and active bleeding, which prompted immediate operative intervention. The patient recovered without complications. The decision-making process in this case is outlined, and other reports describing patients with thyroid hemorrhage after blunt cervical trauma are reviewed. Although blunt thyroid injury is an uncommon condition, failure to consider the diagnosis or failure to anticipate complications of thyroid hemorrhage may result in progressive bleeding and airway compromise. Decision making is based on the patient’s vital signs and, if possible, the findings on a contrastenhanced CT scan of the neck.
ACCESSION #
48464522

 

Related Articles

  • NON-TRAUMATIC UNILATERAL SUBDURAL HEMORRHAGE IN A CASE OF THROMBOCYTOPENIA. Bansal, Y. S.; Mandal, S. P.; Murali, G. // Journal of Punjab Academy of Forensic Medicine & Toxicology;2009, Vol. 9 Issue 2, p114 

    Interpretation of autopsy as well as clinical findings with diligence is one of the prerequisite in any medico legal case; however unusual findings can sometimes be very confusing for forensic expert to interpret. These case studies are one of those similar situation where unilateral subdural...

  • Delayed Presentation of Blunt Neck Trauma Diagnosed with Bedside Ultrasonography. Akay, Serhat; Akay, Huriye; Erkan, Nazif // Journal of Academic Emergency Medicine Case Reports / Akademik A;Jul2014, Vol. 5 Issue 7, p209 

    Introduction: Trauma of the salivary glands is rare, as penetrating traumas account for the majority of them. Few cases of blunt trauma of the submandibular glands are reported in the literature. Delayed presentation and airway compromise are the main concerns. Radiologic imaging is essential...

  • Acquired hemophilia A presenting in an elderly man. Woods, Stacy; Varghese, Boji // CMAJ: Canadian Medical Association Journal;8/14/2007, Vol. 177 Issue 4, p341 

    The article discusses several important diagnostic techniques for treating acquired hemophilia A. It is stated that the diagnosis of acquired hemophilia is based on prolonged activated partial thromboplastin time which should be corrected by mixing equal volumes of patient's plasma and the...

  • Difficult airway challenges-intubation and extubation matters in a case of large goiter with retrosternal extension. Raval, Chetankumar B.; Rahman, Syed Abdul // Anesthesia: Essays & Researches;May-Aug2015, Vol. 9 Issue 2, p247 

    Thyroid diseases have an anesthetic implication that includes difficult airway management, uncontrolled hyperthyroidism, hypothyroidism and postthyroidectomy complications. Securing airway: Intubation and extubation both require skillful management and timely decision to reduce morbidity and...

  • Blunt trauma resulting in pneumothorax with progression to pneumoperitoneum: a unique diagnosis with predicament in management. Curfman, Karleigh R.; Robitsek, R. Jonathan; Sammett, David; Schubl, Sebastian D. // Journal of Surgical Case Reports;Dec2015, Vol. 2015 Issue 12, p1 

    Here, we present a case of pneumoperitoneum caused by traumatic pneumothorax after a fall. The patient is an 82-year-old male who was brought into the emergency department after being found at the bottom of a flight of stairs with a bleeding scalp laceration. Upon presentation, the patient...

  • BWH emergency radiology-surgical correlation. Saboo, Sachin; Khurana, Bharti; Desai, Naman; Sodickson, Aaron; Gates, Jonathan // Emergency Radiology;Aug2014, Vol. 21 Issue 4, p419 

    We describe the radiological and intraoperative correlation of a large omental hematoma with active intra-abdominal bleeding secondary to omental lacerations in a 75-year-old man following blunt trauma from a motor vehicle accident. The purpose of this article is to emphasize the importance of...

  • Calcified Epidural Hematoma in an Adult Patient: A Case Report. Datta, Subramanya G. S.; Sharma, Chandraprakash // Indian Journal of Neurotrauma;2016, Vol. 13 Issue 3, p171 

    A rare entity encountered in neurosurgery is calcification of epidural hematoma (EDH). The mechanism of calcification of EDH is still unclear. A 31-year-old adult patient sustained blunt trauma to head as a result of assault leading to loss of consciousness of approximately 15 minutes. Initial...

  • The Evaluation of Minor Cervical Blunt Trauma in the Pediatric Patient. Lusk, Rodney P. // Clinical Pediatrics;Sep1986, Vol. 25 Issue 9, p445 

    Blunt trauma delivered directly to the neck of the pediatric patient may be associated with significant airway compromise. The external signs are not indicative of the extent or site of the trauma. A high index of suspicion is warranted in all patients with this type of injury. A patient with...

  • The Incidence and Clinical Significance of Pneumomediastinum Found on Computed Tomography Scan in Blunt Trauma Patients. MOLENA, DANIELA; BURR, NICOLE; ZUCCHIATTI, ANDREA; LOVRIA, ERIK; GESTRING, MARK L.; CHENG, JULIUS D.; BANKEY, PAUL E.; STASSEN, NICOLE A. // American Surgeon;Nov2009, Vol. 75 Issue 11, p1081 

    With the increased use of chest computed tomography (CT) scan in the initial evaluation of major trauma, findings that were not seen on a chest radiograph (CXR) are increasingly identified. Pneumomediastinum (PM) seen on CXR in blunt trauma patients is considered worrisome for airway and/or...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

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

Try another library?
Sign out of this library

Other Topics