A Case of Airway Obstruction Secondary to Acute Haemorrhage into a Benign Thyroid Cyst
Joint Authors
Vijapurapu, Ravi
Crooks, Neil H.
Kaur, Kamal
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-08-20
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
A 70-year-old female, with a history of progressive dyspnoea, was admitted to the critical care unit after successful resuscitation following a witnessed, out of hospital cardiorespiratory arrest.
A presumptive diagnosis of cardiorespiratory arrest secondary to an exacerbation of chronic obstructive pulmonary disease was made.
However, on more detailed examination a large anterior, midline neck mass was noted.
Following tracheal intubation, a computerised tomography scan of the patient’s neck and thorax revealed a seven-centimetre, well-defined, nonenhancing, rounded homogeneous opacity at the thoracic inlet, consistent with a large midline thyroid cyst.
Needle aspiration of the cyst was performed and yielded approximately 50 mL of frank blood.
After an uncomplicated tracheal extubation and recovery, an elective subtotal thyroidectomy was performed prior to hospital discharge.
Histology of the specimen revealed a benign thyroid cyst within a multinodular goitre.
Euthyroid multinodular goitres are more likely to be managed conservatively due to an asymptomatic clinical course in most patients.
However, the risk of respiratory distress and acute airway obstruction from tracheal compression or acute haemorrhage should be kept in mind.
Patients at risk of this life threatening complication should be managed with elective thyroidectomy to reduce morbidity and mortality.
American Psychological Association (APA)
Vijapurapu, Ravi& Kaur, Kamal& Crooks, Neil H.. 2014. A Case of Airway Obstruction Secondary to Acute Haemorrhage into a Benign Thyroid Cyst. Case Reports in Critical Care،Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-466842
Modern Language Association (MLA)
Vijapurapu, Ravi…[et al.]. A Case of Airway Obstruction Secondary to Acute Haemorrhage into a Benign Thyroid Cyst. Case Reports in Critical Care No. 2014 (2014), pp.1-3.
https://search.emarefa.net/detail/BIM-466842
American Medical Association (AMA)
Vijapurapu, Ravi& Kaur, Kamal& Crooks, Neil H.. A Case of Airway Obstruction Secondary to Acute Haemorrhage into a Benign Thyroid Cyst. Case Reports in Critical Care. 2014. Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-466842
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-466842