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Updated: Jul 15, 2026

Minimal Invasive Resection of Large Retrosternal Thyroid Goiter
Published on: September 20, 2024
Spontaneous rupture with pseudoaneurysm formation in a nodular goiter presenting as a large neck mass
Chia-Che Chang1, Yi-Hong Chou, Chui-Mei Tiu
1Department of Emergency Medicine, Lotung Poh-Ai Hospital, Lotung, Ilan, Taiwan.
Abstract:
Acute airway obstruction caused by goiter hemorrhage is a rare but potentially life-threatening condition. We report a case of nodular goiter in which spontaneous rupture with active bleeding developed suddenly, presenting as a large neck mass with dyspnea. Sonographic examination revealed a large inhomogeneous soft tissue mass in the left thyroid lobe containing some hypoechoic areas. Color Doppler and spectral Doppler analysis were consistent with a large hematoma and pseudoaneurysm, which was subsequently confirmed at surgery.
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