tailieunhanh - báo cáo khoa học: "Sudden massive neck swelling due to hemorrhage of a thyroid adenoma: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Sudden massive neck swelling due to hemorrhage of a thyroid adenoma: a case report | Giotakis et al. Journal of Medical Case Reports 2011 5 391 http content 5 1 391 WV journalof medical l rCASE REPORTS CASE REPORT Open Access Sudden massive neck swelling due to hemorrhage of a thyroid adenoma a case report Evangelos I Giotakis Tanja Hildenbrand and Joachim Dodenhoft Abstract 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. Introduction Follicular adenomas arising from the thyroid follicles are the most common benign tumors of the thyroid gland. They are more common in women than in men and occur in all age groups.