Emergency surgery for acute respiratory failure secondary to spontaneous thyroid hemorrhage

Mario Testini, Angela Gurrado, Germana Lissidini, Domenica Lardo, Elisabetta Poli, Giuseppe Piccinni

Research output: Contribution to journalArticlepeer-review

Abstract

A 42-year-old woman was evaluated for an emergency at our surgical department for acute dyspnea associated with a spontaneous and rapidly enlarging mass of the neck. Clinical examination revealed a large, firm, nonfluctuant thyroid swelling on the right side of the neck. An urgent computerized tomography scan showed a hematoma within the right lobe of the thyroid and tracheal deviation with marked luminal narrowing. Because of the rapid progression of respiratory distress, endotracheal intubation by flexible laryngos-copy revealing normal vocal cords function and emergency total thyroidectomy were performed. During the operation, the thyroid gland showed a huge, edematous, nonfluctuant, rubbery, firm swelling with easy bleeding on touch, but the capsule appeared to be intact without rupture. Microscopic examination revealed a colloid multinodular goiter with massive parenchymal hemorrhage. Recovery was uneventful, and the patient was discharged 2 days after the operation.

Original languageEnglish
Pages (from-to)158-162
Number of pages5
JournalInternational Surgery
Volume93
Issue number3
Publication statusPublished - May 2008

Keywords

  • Acute respiratory failure
  • Emergency thyroidectomy
  • Thyroid hemorrhage

ASJC Scopus subject areas

  • Surgery

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