Management of thyroid gland hemorrhage after blunt trauma: a case report and review of the literature.

Background: Thyroid hemorrhage is a rare injury in patients suffering from blunt trauma to the neck. The case of a 60-year-old woman is described who developed increasing swelling in the neck with a mild inspiratory stridor after a fall from her bed. The fall had resulted in hemorrhage within a prev...

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Publicado en:European Journal of Trauma & Emergency Surgery Vol. 35; no. 6; pp. 587 - 591
Autores principales: Schipper EE, Kool DR, Wobbes T, Geeraedts LMG Jr
Formato: case study diagnostic images pictorial Journal Article
Publicado: Springer Nature Dec2009
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2009
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      pub: Springer Nature
      place: New York, New York
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        atl: Management of thyroid gland hemorrhage after blunt trauma: a case report and review of the literature.
      aug:
        au:
          Schipper EE
          Kool DR
          Wobbes T
          Geeraedts LMG Jr
        affil: Section Traumatology, Department of Surgery, Radboud University Medical Center Nijmegen, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands; e.schipper@chir.umcn.nl
      sug:
        subj:
          Hemorrhage Therapy
          Thyroid Gland Injuries
          Wounds and Injuries Complications
          Wounds, Nonpenetrating Complications
          Female
          Middle Age
          Middle Aged: 45-64 years
          Female
      ab: Background: Thyroid hemorrhage is a rare injury in patients suffering from blunt trauma to the neck. The case of a 60-year-old woman is described who developed increasing swelling in the neck with a mild inspiratory stridor after a fall from her bed. The fall had resulted in hemorrhage within a previously existing goiter. Further analysis by means of a CT scan revealed severe tracheal compression and active bleeding, which prompted immediate operative intervention. The patient recovered without complications. The decision-making process in this case is outlined, and other reports describing patients with thyroid hemorrhage after blunt cervical trauma are reviewed. Conclusion: Although blunt thyroid injury is an uncommon condition, failure to consider the diagnosis or failure to anticipate complications of thyroid hemorrhage may result in progressive bleeding and airway compromise. Decision making is based on the patient's vital signs and, if possible, the findings on a contrast-enhanced CT scan of the neck.
      pubtype: Academic Journal
      doctype:
        case study
        diagnostic images
        pictorial
        Journal Article
      ougenre: Article
    language: English
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