Title:Spontaneous Thyroid Parenchymal Hemorrhage Causing Acute Airway
Obstruction and Its Endovascular Treatment: A Case Report and Literature
Review
Volume: 20
Author(s): Esat Kaba*, Mehmet Beyazal and İsmail Atas
Affiliation:
- Department of Radiology, Recep Tayyip Erdogan University, Rize, Turkey
Keywords:
Thyroid parenchymal hemorrhage, Hematoma dimensions, Endovascular, Gland, Surgical treatment, Patient.
Abstract:
Introduction:
Massive parenchymal hemorrhage of the thyroid gland is very rare. Some of these can reach a life-threatening level.
Case Presentation:
A 70-year-old female patient approached the emergency department with swelling and redness on her neck after a routine dialysis session. In the
neck computed tomography obtained, there was a massive hematoma originating from the thyroid gland parenchyma. The hematoma was causing
airway compression. We performed thyroid artery embolization and within days, hematoma dimensions and compression effect disappeared
without surgical treatment.
Conclusion:
Massive hemorrhage of the thyroid gland parenchyma is very rare and can reach life-threatening dimensions. Effective and rapid treatment should
be done. As an alternative to surgery, endovascular treatment can be life-saving.