| Acute respiratory distress following fine needle aspiration of thyroid nodule: case report and review of the literature. | |
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MedLine Citation:
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PMID: 20843443 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Fine needle aspiration (FNA) is a widely used practice to assess thyroid lesions, with a low morbidity rate. Although neck hematomas following this procedure are quite common, only three cases of massive hemorrhage causing acute airways obstruction have been previously described. CASE REPORT: We report the case of a 74 years old female with acute respiratory distress following ultrasound-guided FNA for a right paraisthmic thyroid nodule. The patient was admitted to the Emergency Room (ER) 6 hours after the procedure with a large neck hematoma compressing the cervical trachea and requiring surgical decompression. Patient underwent endotracheal intubation followed by isthmectomy and evacuation of the hematoma. Extubation was made 24 hours later in the Intensive Care Unit and the patient was discharged after 48 hours uneventfully. CONCLUSIONS: Acute thyroid hemorrhage following FNA is very rare but still possible. Prompt intervention is mandatory for patients with rapidly evolving symptoms. |
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Authors:
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G Donatini; T Masoni; V Ricci; M D'Elia; A Guadagni; G Baldetti; M Viganò; D Rizzo; G Manfredini; G Uggeri |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: Il Giornale di chirurgia Volume: 31 ISSN: 0391-9005 ISO Abbreviation: G Chir Publication Date: 2010 Aug-Sep |
Date Detail:
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Created Date: 2010-09-16 Completed Date: 2010-11-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9011768 Medline TA: G Chir Country: Italy |
Other Details:
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Languages: eng Pagination: 387-9 Citation Subset: IM |
Affiliation:
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General Surgery Unit, Massa Hospital, Massa Carrara, Italy. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Aged Airway Obstruction / etiology*, surgery Biopsy, Fine-Needle / adverse effects* Female Hematoma / complications*, etiology, surgery Humans Thyroid Nodule* / pathology, surgery Thyroidectomy Treatment Outcome |
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