Airway obstruction, caesarean section and thyroidectomy

Hendrie, M.; Kumar, Manisha M.

doi:10.1016/j.ijoa.2013.06.002

Cited by 7 publications

(2 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[7] There have been 2 case reports involving airway obstruction caused by goiters in pregnant women. [8,9] Three articles were identified reporting rare spontaneous rectus sheath hematoma. [10] We were unable to identify any reports involving spontaneous thyroid hematoma formation in pregnancy or in the postpartum period.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Spontaneous intrathyroidal hematoma causing airway obstruction

et al. 2016

View full text Add to dashboard Cite

Introduction:Spontaneous thyroid hemorrhage is a rare occurrence that results in pain, discomfort, and occasionally compressive symptoms. Infrequently, extensive thyroid hemorrhage can result in a rapidly expanding hematoma resulting in airway compromise. This is a case of an otherwise healthy young woman, 3 months postpartum, with a slowly expanding spontaneous thyroid hemorrhage that measured at 7 × 5.5 × 5 cm by computed tomography. She ultimately required intubation to manage respiratory distress and subsequently a hemithyroidectomy for definitive treatment. The case presentation is followed by a literature review where known etiologies of thyroid hematoma including traumatic and nontraumatic causes, precipitating anticoagulation, and spontaneous rupture of branches of the external carotid artery are outlined. The potential links to pregnancy are explored. The roles of bedside thyroid ultrasound in the emergency department and lateral neck roentgenogram in diagnosis are explored. The importance of airway management and indications for conservative versus surgical treatments are discussed.Conclusions:This is a case of a spontaneous intrathyroidal hemorrhage, which progressed over days to ultimately cause airway compromise. It is imperative that physicians are educated on the appropriate detection and management of the potentially life-threatening spontaneous thyroid hematoma.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Another case report of sudden massive neck swelling due to hemorrhage of a thyroid adenoma measuring 6 × 7 × 12 cm was also managed successfully with a hemithyroidectomy. [9] …”

Section: Discussionmentioning

confidence: 99%