TY  - JOUR
TI  - Management of a Spontaneous Thyroid Nodule
Hemorrhage Causing Acute Airway Obstruction
AB  - Spontaneous intrathyroidal hemorrhage (ITH) causing airway obstruction is relatively rare. We
report a case with no known history of a thyroid disease that presented with an ITH causing
severe airway obstruction as a life-threatening situation. A 57-year-old female patient presented
to the emergency department with sudden onset of swelling of the anterior neck, severe dyspnea,
and unconsciousness. Computerized tomography scan after intubation revealed a 6.2x5.3 cm
mass originating from the right thyroid lobe and compressing the airway. Drainage of hematoma
with right lobectomy was done. When the patient was extubated one day after the surgery the
vocal cords were found to be mobile. She was discharged after two days and there was no need
for further intervention during the one-month follow-up. Spontaneous life-threatening ITHs
are rare entities. Immediate assessment of airway obstruction and achieving a secure airway are
crucial. Besides drainage of hematoma, thyroidectomy may also be necessary
AU  - BETON, SÜHA
AU  - BASAK, HAZAN
AU  - Hasanova, Aysel
AU  - Yücel, Levent
DO  - 10.4274/tao.2021.2021-5-23
PY  - 2021
JO  - Turkish archives of otorhinolaryngology 
VL  - 59
IS  - 4
SN  - 2667-7466
SP  - 289
EP  - 291
DB  - TRDizin
UR  - http://search/yayin/detay/520040
ER  -