Delayed intrathyroidal hematoma causing respiratory distress after a seemingly benign fall: A case report

被引：12

作者：

Chartier L.B. ^{[1
]}

Turner J.P. ^{[2
]}

机构：

[1] Division of Emergency Medicine, Department of Medicine, University of Toronto, Toronto, ON M4N 2M5

[2] Department of Emergency Medicine, Sir Mortimer B. Davis Jewish General Hospital, Montreal, QC H3T 1E2, 3755, Côte-Ste-Catherine Road

来源：

International Journal of Emergency Medicine | 2010年 / 3卷 / 4期

关键词：

Hematoma; Respiratory distress; Thyroid; Trauma;

D O I：

10.1007/s12245-010-0196-6

中图分类号：

学科分类号：

摘要：

A rare event of a fall causing delayed intrathyroidal hematoma and respiratory distress is reported here. A 75-year-old woman with symptoms of vertigo causing syncope and fall 24 h earlier was seen and discharged from our emergency department after an unremarkable physical exam and 6-h observation period. Within 3 h of discharge, the patient was transported back by Emergency Medical Services with an enlarging neck mass and subjective respiratory distress. CT scan demonstrated a large, expanding hematoma, and the patient underwent an emergency hemithyroidectomy. Hürtle cell adenoma was found on pathologic specimen examination. A review of the literature of similar cases is presented, emphasizing the notion that concurrent thyroid pathology is a risk factor for airway compromise after seemingly benign trauma and that airway compromise can present in a delayed fashion. © Springer-Verlag London Ltd 2010.

引用

页码：431 / 433

页数：2

共 12 条

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