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A Rare Case of Traumatic Thyroid Gland Hypoperfusion/Devascularization After a Gunshot Wound Through the Neck: Computed Tomography Findings

Patient: Male, 26-year-old Final Diagnosis: Hypoperfusion/devascularization of the thyroid gland Symptoms: Base of neck gunshot wound Medication:— Clinical Procedure: — Specialty: Radiology OBJECTIVE: Rare disease BACKGROUND: The thyroid gland is rarely injured in cases of penetrating neck trauma. C...

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Autores principales: Rodriguez-Ortiz, Luis R., Perez-Torres, Adriana M., Saldaña-Mendez, Andrea N., Labat-Alvarez, Eduardo J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8420712/
https://www.ncbi.nlm.nih.gov/pubmed/34456332
http://dx.doi.org/10.12659/AJCR.930505
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author Rodriguez-Ortiz, Luis R.
Perez-Torres, Adriana M.
Saldaña-Mendez, Andrea N.
Labat-Alvarez, Eduardo J.
author_facet Rodriguez-Ortiz, Luis R.
Perez-Torres, Adriana M.
Saldaña-Mendez, Andrea N.
Labat-Alvarez, Eduardo J.
author_sort Rodriguez-Ortiz, Luis R.
collection PubMed
description Patient: Male, 26-year-old Final Diagnosis: Hypoperfusion/devascularization of the thyroid gland Symptoms: Base of neck gunshot wound Medication:— Clinical Procedure: — Specialty: Radiology OBJECTIVE: Rare disease BACKGROUND: The thyroid gland is rarely injured in cases of penetrating neck trauma. Computed tomography (CT) plays a central role in prompt evaluation of the extent of penetrating neck trauma and can demonstrate thyroid gland injury. The current literature on thyroid gland injury is limited mostly to blunt trauma, with little emphasis on findings seen on CT imaging. In the present case report, we focus on CT imaging findings of thyroid gland hypoperfusion/devascularization in a patient who had a gunshot wound injury through the base of his neck. CASE REPORT: A 26-year-old man was transferred to our trauma center after experiencing multiple gunshot wounds, including one through the base of the neck. The bullet path through his neck was associated with enlargement/edema involving the right thyroid lobe, with an asymmetric decrease in enhancement involving the mid and superior aspects of the right thyroid lobe. Maximum-intensity-projection angiographic images of the vascular supply of the thyroid gland suggested an abrupt decrease in caliber close to the origin of the posterior glandular branch of the right superior thyroid artery. The findings favored vasospasm rather than an arterial injury, which led to hypoperfusion/devascularization of the upper pole of the right thyroid lobe. CONCLUSIONS: Thyroid gland hypoperfusion/devascularization after a penetrating neck injury is rare. Recognition of CT imaging findings that favor post-traumatic organ hypoperfusion/devascularization is crucial for prompt management and to decrease morbidity in such cases.
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spelling pubmed-84207122021-09-15 A Rare Case of Traumatic Thyroid Gland Hypoperfusion/Devascularization After a Gunshot Wound Through the Neck: Computed Tomography Findings Rodriguez-Ortiz, Luis R. Perez-Torres, Adriana M. Saldaña-Mendez, Andrea N. Labat-Alvarez, Eduardo J. Am J Case Rep Articles Patient: Male, 26-year-old Final Diagnosis: Hypoperfusion/devascularization of the thyroid gland Symptoms: Base of neck gunshot wound Medication:— Clinical Procedure: — Specialty: Radiology OBJECTIVE: Rare disease BACKGROUND: The thyroid gland is rarely injured in cases of penetrating neck trauma. Computed tomography (CT) plays a central role in prompt evaluation of the extent of penetrating neck trauma and can demonstrate thyroid gland injury. The current literature on thyroid gland injury is limited mostly to blunt trauma, with little emphasis on findings seen on CT imaging. In the present case report, we focus on CT imaging findings of thyroid gland hypoperfusion/devascularization in a patient who had a gunshot wound injury through the base of his neck. CASE REPORT: A 26-year-old man was transferred to our trauma center after experiencing multiple gunshot wounds, including one through the base of the neck. The bullet path through his neck was associated with enlargement/edema involving the right thyroid lobe, with an asymmetric decrease in enhancement involving the mid and superior aspects of the right thyroid lobe. Maximum-intensity-projection angiographic images of the vascular supply of the thyroid gland suggested an abrupt decrease in caliber close to the origin of the posterior glandular branch of the right superior thyroid artery. The findings favored vasospasm rather than an arterial injury, which led to hypoperfusion/devascularization of the upper pole of the right thyroid lobe. CONCLUSIONS: Thyroid gland hypoperfusion/devascularization after a penetrating neck injury is rare. Recognition of CT imaging findings that favor post-traumatic organ hypoperfusion/devascularization is crucial for prompt management and to decrease morbidity in such cases. International Scientific Literature, Inc. 2021-08-30 /pmc/articles/PMC8420712/ /pubmed/34456332 http://dx.doi.org/10.12659/AJCR.930505 Text en © Am J Case Rep, 2021 https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) )
spellingShingle Articles
Rodriguez-Ortiz, Luis R.
Perez-Torres, Adriana M.
Saldaña-Mendez, Andrea N.
Labat-Alvarez, Eduardo J.
A Rare Case of Traumatic Thyroid Gland Hypoperfusion/Devascularization After a Gunshot Wound Through the Neck: Computed Tomography Findings
title A Rare Case of Traumatic Thyroid Gland Hypoperfusion/Devascularization After a Gunshot Wound Through the Neck: Computed Tomography Findings
title_full A Rare Case of Traumatic Thyroid Gland Hypoperfusion/Devascularization After a Gunshot Wound Through the Neck: Computed Tomography Findings
title_fullStr A Rare Case of Traumatic Thyroid Gland Hypoperfusion/Devascularization After a Gunshot Wound Through the Neck: Computed Tomography Findings
title_full_unstemmed A Rare Case of Traumatic Thyroid Gland Hypoperfusion/Devascularization After a Gunshot Wound Through the Neck: Computed Tomography Findings
title_short A Rare Case of Traumatic Thyroid Gland Hypoperfusion/Devascularization After a Gunshot Wound Through the Neck: Computed Tomography Findings
title_sort rare case of traumatic thyroid gland hypoperfusion/devascularization after a gunshot wound through the neck: computed tomography findings
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8420712/
https://www.ncbi.nlm.nih.gov/pubmed/34456332
http://dx.doi.org/10.12659/AJCR.930505
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