Goiters and airway problems

Acute Airway Obstruction by Spontaneous Hemorrhage into Thyroid Nodule

“…Considering the patient in this case, with multiple chambers filled with blood clots inside of a hard thyroid swelling, the simple aspiration of blood was not a treatment option. Although conservative management has been reported to be useful [4,5], early surgical decompression should be considered whenever tracheal compression is a concern, especially if the patients are symptomatic or have mediastinal extension [6]. If this patient was treated surgically immediately after the initial symptoms of swelling at the lower central neck region (3 days before the cardiopulmonary arrest), the cardiopulmonary resuscitation could have been avoided.…”

“…However, massive hemorrhage into a thyroid nodule can result in a rapidly expanding hematoma with compromise of the airway. Such hemorrhagic events may occur spontaneously, after exertion, or after trauma (blunt or fine-needle aspiration) [1][2][3][4][5][6][7]. We report a case of acute airway obstruction due to spontaneous hemorrhage into a thyroid nodule.…”

An investigation into symptoms, diagnosis, treatment, and treatment complications in patients with retrosternal goiter

“…In the study carried out by Cui et al the highest rate of diagnosis was related to CXR (70%) and CT scan (96%) [1]. Chest X-ray (CXR) is abnormal in most cases [6]. Studies indicated that radiography plays a limited role in measuring thyroid diseases.…”

Spontaneous rupture with pseudoaneurysm formation in a nodular goiter presenting as a large neck mass

“…1,2 Acute airway obstruction caused by goiter hemorrhage is rare but may be life-threatening. 3,4 We report a case of a nodular goiter in which spontaneous rupture with active bleeding developed suddenly, presenting as a large neck mass with dyspnea.…”