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Case Reports
. 2020 Dec 9:30:100386.
doi: 10.1016/j.tcr.2020.100386. eCollection 2020 Dec.

Successful non-operative management of a traumatic thyroid haematoma in a goitrous gland

Nicolas Ramly  1 , Neesa Fadaee  2 , Fadie Aziz  3 , Farhad Azimi  4
Affiliations
Case Reports

Successful non-operative management of a traumatic thyroid haematoma in a goitrous gland

Nicolas Ramly et al. Trauma Case Rep. .

Erratum in

Abstract

Traumatic haemorrhage of the thyroid is an uncommon injury, especially in patients without pre-existing thyroid disease. Goitrous glands have an increased risk of haemorrhage following trauma due to their increased size and vascularity. Traditionally, traumatic thyroid haematomas were indiscriminately managed with neck exploration. Over time, the role of the close observation in the management of these injuries was explored, and it became common for patients with traumatic haematomas in otherwise normal thyroid glands to be managed non-operatively if no signs of ongoing bleeding or airway compromise manifested. However, patients with known goitrous glands continued to undergo neck exploration and resection of the affected gland. Herein we discuss the case of a traumatic thyroid haematoma managed non-operatively in a patient with a goitrous gland and discuss its implications for the management of similar future cases.

Keywords: Neck injuries; Thyroid gland; Vascular system injuries.

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Conflict of interest statement

Nil

Figures

Fig. 1
Fig. 1
Coronal slice demonstrating the mass and associated tracheal deviation to the left.
Fig. 2
Fig. 2
Axial slice demonstrating the intact tracheal lumen.
Fig. 3
Fig. 3
Algorithm for the diagnosis and management of thyroid gland injuries from Heizmann et al. [1].
Fig. 4
Fig. 4
Modified algorithm for the diagnosis and management of thyroid gland injuries based on that proposed by Heizmann et al. [1].
See this image and copyright information in PMC

References

    1. Heizmann O., Schmid R., Oertli D. Blunt injury to the thyroid gland: proposed classification and treatment algorithm. J. Trauma. 2006;61(4):1012–1015. - PubMed
    1. Saylam B., Comçali B., Ozer M.V., Coskun F. Thyroid gland hematoma after blunt neck trauma. West. J. Emerg. Med. 2009;10(4):247–249. - PMC - PubMed
    1. Verdonck P., de Schoutheete J.C., Monsieurs K.G., Van Laer C., Vander Poorten V., Vanderveken O. Penetrating and blunt trauma to the neck: clinical presentation, assessment and emergency management. B-ent. 2016;(Suppl 26(2)):69–85. - PubMed
    1. Weeks C., Moore F.D., Jr., Ferzoco S.J., Gates J. Blunt trauma to the thyroid: a case report. Am. Surg. 2005;71(6):518–521. - PubMed
    1. Ved R., Patel N., Stechman M. Surgical management of life-threatening thyroid haematoma following occult blunt neck trauma. Case Rep Endocrinol. 2016;2016:1–4. - PMC - PubMed

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