Spontaneous rupture with pseudoaneurysm formation in a nodular goiter presenting as a large neck mass.
Acute airway obstruction caused by goiter hemorrhage is a rare but potentially life-threatening condition. We report a case of nodular goiter in which spontaneous rupture with active bleeding developed suddenly, presenting as a large neck mass with dyspnea. Sonographic examination revealed a large inhomogeneous soft tissue mass in the left thyroid lobe containing some hypoechoic areas. Color Doppler and spectral Doppler analysis were consistent with a large hematoma and pseudoaneurysm, which was subsequently confirmed at surgery.
Chang
Chia-Che
CC
Department of Emergency Medicine, Lotung Poh-Ai Hospital, Lotung, Ilan, Taiwan.
Chou
Yi-Hong
YH
Tiu
Chui-Mei
CM
Chiou
Hong-Jen
HJ
Wang
Hsin-Kai
HK
Chiou
See-Ying
SY
Chen
Siew-Peng
SP
Chang
Ming-Wei
MW
Chang
Chi-Houng
CH
Hong
Ting-Han
TH
D000368:Aged; D000402:Airway Obstruction / Q000209:etiology; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology*; D003937:Diagnosis, Differential; D005260:Female; D006044:Goiter, Nodular / Q000150:complications* / Q000000981:diagnostic imaging; D006406:Hematoma / Q000209:etiology; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D012422:Rupture, Spontaneous; D013961:Thyroid Gland / Q000098:blood supply* / Q000000981:diagnostic imaging; D018608:Ultrasonography, Doppler; D018615:Ultrasonography, Doppler, Color