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Traumatic Intrathyroidal Hematoma: Case Report and Review of Literature
Morgan Terry1, Ana Araujo1, Skylar Trott1
1Department of Otolaryngology, Oregon Health & Science University, Portland, Oregon, USA.
Background:
Traumatic expanding intrathyroidal hematoma is rare and can be clinically obscured, leading to delayed diagnosis and potential airway compromise. Identification and prompt intervention are paramount to survival.
Methods:
Patient presented to the emergency department as a modified trauma without signs of respiratory distress or enlarging neck circumference. Comprehensive trauma imaging identified the thyroid pathology prompting otolaryngology involvement.
Results:
Rapid operating room arrangement allowed for prevention of airway compromise, straight forward intubation, and resolution of thyroid pathology prior to clinical decompensation.
Conclusions:
We present an unusual case of traumatic thyroid hematoma in which the bleeding source was contained within the thyroid capsule; intubation and surgical intervention resolved the airway and thyroid pathology. Trauma-indicated imaging allowed for identification in a clinically obscured pathology.
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