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 journalArticle

10 Citations (Scopus)

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

Fingerprint

Respiratory Insufficiency
Thyroid Gland
Emergencies
Hemorrhage
Neck
Intratracheal Intubation
Vocal Cords
Thyroidectomy
Goiter
Touch
Colloids
Hematoma
Dyspnea
Capsules
Rupture
Tomography

Keywords

  • Acute respiratory failure
  • Emergency thyroidectomy
  • Thyroid hemorrhage

ASJC Scopus subject areas

  • Surgery

Cite this

Testini, M., Gurrado, A., Lissidini, G., Lardo, D., Poli, E., & Piccinni, G. (2008). Emergency surgery for acute respiratory failure secondary to spontaneous thyroid hemorrhage. International Surgery, 93(3), 158-162.

Emergency surgery for acute respiratory failure secondary to spontaneous thyroid hemorrhage. / Testini, Mario; Gurrado, Angela; Lissidini, Germana; Lardo, Domenica; Poli, Elisabetta; Piccinni, Giuseppe.

In: International Surgery, Vol. 93, No. 3, 05.2008, p. 158-162.

Research output: Contribution to journalArticle

Testini, M, Gurrado, A, Lissidini, G, Lardo, D, Poli, E & Piccinni, G 2008, 'Emergency surgery for acute respiratory failure secondary to spontaneous thyroid hemorrhage', International Surgery, vol. 93, no. 3, pp. 158-162.
Testini, Mario ; Gurrado, Angela ; Lissidini, Germana ; Lardo, Domenica ; Poli, Elisabetta ; Piccinni, Giuseppe. / Emergency surgery for acute respiratory failure secondary to spontaneous thyroid hemorrhage. In: International Surgery. 2008 ; Vol. 93, No. 3. pp. 158-162.
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