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Sudden massive neck swelling due to hemorrhage of a thyroid adenoma: a case report

INTRODUCTION: Sudden swelling of the neck is an emergency situation that can be life-threatening for the patient. Therefore, an understanding of the possible underlying pathology is of great importance. Sudden massive swelling of the neck because of intralesional bleeding of a thyroid adenoma is sel...

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Autores principales: Giotakis, Evangelos I, Hildenbrand, Tanja, Dodenhöft, Joachim
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3170355/
https://www.ncbi.nlm.nih.gov/pubmed/21851609
http://dx.doi.org/10.1186/1752-1947-5-391
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author Giotakis, Evangelos I
Hildenbrand, Tanja
Dodenhöft, Joachim
author_facet Giotakis, Evangelos I
Hildenbrand, Tanja
Dodenhöft, Joachim
author_sort Giotakis, Evangelos I
collection PubMed
description INTRODUCTION: Sudden swelling of the neck is an emergency situation that can be life-threatening for the patient. Therefore, an understanding of the possible underlying pathology is of great importance. Sudden massive swelling of the neck because of intralesional bleeding of a thyroid adenoma is seldom encountered but must be considered. Such massive swelling caused by spontaneous bleeding of a thyroid adenoma has not yet been described in the literature. CASE PRESENTATION: We report the case of a 71-year-old Caucasian man with sudden massive neck swelling due to intralesional bleeding of a thyroid adenoma. We present his clinical history, physical examination results, computed tomography (CT) scans, and histological findings after surgery. He presented with sudden massive swelling of the left side of his neck after sneezing while working with his hands over his head. An ear, nose, and throat examination showed a painless swelling of the left side of his neck and a displacement of his larynx to the right. CT scans revealed a mass originating from the left lobe of his thyroid gland and the mass displaced his larynx and trachea. A surgical exploration showed a greatly enlarged left lobe of his thyroid gland. A histopathological examination showed a hemorrhagic infarction of a follicular thyroid adenoma. CONCLUSIONS: Sudden intralesional bleeding of a thyroid adenoma is a rare condition but one that should be considered in cases of sudden and massive swelling of the neck.
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spelling pubmed-31703552011-09-10 Sudden massive neck swelling due to hemorrhage of a thyroid adenoma: a case report Giotakis, Evangelos I Hildenbrand, Tanja Dodenhöft, Joachim J Med Case Reports Case Report INTRODUCTION: Sudden swelling of the neck is an emergency situation that can be life-threatening for the patient. Therefore, an understanding of the possible underlying pathology is of great importance. Sudden massive swelling of the neck because of intralesional bleeding of a thyroid adenoma is seldom encountered but must be considered. Such massive swelling caused by spontaneous bleeding of a thyroid adenoma has not yet been described in the literature. CASE PRESENTATION: We report the case of a 71-year-old Caucasian man with sudden massive neck swelling due to intralesional bleeding of a thyroid adenoma. We present his clinical history, physical examination results, computed tomography (CT) scans, and histological findings after surgery. He presented with sudden massive swelling of the left side of his neck after sneezing while working with his hands over his head. An ear, nose, and throat examination showed a painless swelling of the left side of his neck and a displacement of his larynx to the right. CT scans revealed a mass originating from the left lobe of his thyroid gland and the mass displaced his larynx and trachea. A surgical exploration showed a greatly enlarged left lobe of his thyroid gland. A histopathological examination showed a hemorrhagic infarction of a follicular thyroid adenoma. CONCLUSIONS: Sudden intralesional bleeding of a thyroid adenoma is a rare condition but one that should be considered in cases of sudden and massive swelling of the neck. BioMed Central 2011-08-18 /pmc/articles/PMC3170355/ /pubmed/21851609 http://dx.doi.org/10.1186/1752-1947-5-391 Text en Copyright ©2011 Giotakis et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Giotakis, Evangelos I
Hildenbrand, Tanja
Dodenhöft, Joachim
Sudden massive neck swelling due to hemorrhage of a thyroid adenoma: a case report
title Sudden massive neck swelling due to hemorrhage of a thyroid adenoma: a case report
title_full Sudden massive neck swelling due to hemorrhage of a thyroid adenoma: a case report
title_fullStr Sudden massive neck swelling due to hemorrhage of a thyroid adenoma: a case report
title_full_unstemmed Sudden massive neck swelling due to hemorrhage of a thyroid adenoma: a case report
title_short Sudden massive neck swelling due to hemorrhage of a thyroid adenoma: a case report
title_sort sudden massive neck swelling due to hemorrhage of a thyroid adenoma: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3170355/
https://www.ncbi.nlm.nih.gov/pubmed/21851609
http://dx.doi.org/10.1186/1752-1947-5-391
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