Haemoptysis: An Uncommon Presentation in an Incidental Thyroid Nodule—A Case Report

Parasuraman, Lakshmi Narasimman; Soundararajan, Jagadesh Chandra Bose

doi:10.1007/s12070-020-02261-6

Cited by 1 publication

(1 citation statement)

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“…This aggressive presentation, however, remains uncommon. Aslam et al 4 and Parsuraman et al 5 have reported cases of thyroid malignancy presenting with hemoptysis.Kuperberg et al have reported a similar case where they have used argon plasma coagulation (APC) for control of hemorrhage. 6 Other modalities like electrocautery, laser photocoagulation, use of topical haemostatic agents, local vasoconstrictors, injection tranexamic acid have been described in literature.…”

Section: Discussionmentioning

confidence: 99%

Anaesthetic management of a bleeding intratracheal mass

Sehgal,

Gera,

Sharma

et al. 2023

IJCA

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A long-standing thyroid mass can have varied presentation depending on the metabolic, compressive or invasive symptoms. The most apparent symptom of thyroid mass is goitre, which if ignored can prove to be catastrophic as in our case. It is uncommon for thyroid mass to present as airway bleeding. However, a patient with long standing goitre presented with frank hemoptysis to our hospital. Radiological study revealed a thyroid mass, infiltrating the tracheal wall and extending into the tracheal lumen. A bleeding intratracheal mass presents a multifactorial challenge to an anaesthetist. Authors present anaesthetic management of a case of infiltrating thyroid malignancy presenting as a bleeding intratracheal mass. The haemostasis and airway patency were restored until definitive surgery was planned. The need for tracheostomy could be avoided in this case. A meticulously planned airway management along with multi-disciplinary approach are important for management of bleeding intratracheal mass.

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Section: Discussionmentioning

confidence: 99%