Document Detail

Acute respiratory distress following fine needle aspiration of thyroid nodule: case report and review of the literature.
MedLine Citation:
PMID:  20843443     Owner:  NLM     Status:  MEDLINE    
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.
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:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Il Giornale di chirurgia     Volume:  31     ISSN:  0391-9005     ISO Abbreviation:  G Chir     Publication Date:    2010 Aug-Sep
Date Detail:
Created Date:  2010-09-16     Completed Date:  2010-11-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9011768     Medline TA:  G Chir     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  387-9     Citation Subset:  IM    
General Surgery Unit, Massa Hospital, Massa Carrara, Italy.
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MeSH Terms
Acute Disease
Airway Obstruction / etiology*,  surgery
Biopsy, Fine-Needle / adverse effects*
Hematoma / complications*,  etiology,  surgery
Thyroid Nodule* / pathology,  surgery
Treatment Outcome

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