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Thyroid hematoma after blunt neck trauma.

Nogognan Ignace Lengane^1,2, Milckisédek Judicaël Marouruana Somé^3,2, Charles Ilboudo^4,2

¹ENT and Head and Neck Surgery Department, Ouahigouya University Hospital, Ouahigouya, Burkina Faso.

Trauma Case Reports

|September 2, 2025

Summary

Thyroid hematoma from neck trauma is rare but serious. This case highlights scarf strangulation causing thyroid hematoma in a patient with goiter, emphasizing the need for vigilance in neck trauma cases.

Keywords:

Hematoma Neck Thyroid Trauma

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Area of Science:

Trauma Surgery
Endocrinology
Emergency Medicine

Background:

Thyroid gland hematoma is a rare complication of blunt neck trauma.
It poses a significant risk of airway compromise.
Goitrous glands are more commonly affected, but unusual trauma mechanisms can still lead to this injury.

Observation:

A case of thyroid hematoma following scarf-related neck strangulation is presented.
The patient had a pre-existing, longstanding goiter.
This highlights an unusual mechanism of trauma leading to thyroid injury.

Findings:

Thyroid hematoma, even from uncommon causes like strangulation, can occur in patients with goiter.
The primary concern with thyroid hematoma is potential airway compromise.
Conservative management is suitable for stable hematomas without airway issues.

Implications:

Clinicians should consider thyroid injury in patients presenting with neck trauma or swelling.
Prompt assessment for airway compromise is crucial.
Surgical intervention is reserved for cases with threatened airway obstruction.