[Acute airway obstruction mimicking angioedema and revealing spontaneous compressive haematoma of thyroid goitre].
Substernal thyroid goitre is the most common cause of superior mediastinal masses. Respiratory symptoms are commonly present, in up to 90% of reported cases. However, these symptoms are rarely acute and life threatening. We report a case of acute airway obstruction, initially misdiagnosed as angioedema, revealing a spontaneous compressive substernal goitre haematoma, in a patient under anticoagulant. This life-threatening complication in patients with goitre and anticoagulant should be known.
Loustau
V
V
Service de médecine interne, CHU Pitié-Salpétrière, 47-83, boulevard de l'hôpital, 75651 Paris cedex 13, France. valentine.loustau@gmail.com
Trad
S
S
Hausfater
P
P
Touitou
D
D
Tresallet
C
C
Boutin
D
D
D000208:Acute Disease; D000402:Airway Obstruction / Q000209:etiology* / Q000601:surgery; D000799:Angioedema / Q000175:diagnosis; D000925:Anticoagulants / Q000627:therapeutic use; D001281:Atrial Fibrillation / Q000150:complications / Q000188:drug therapy / Q000209:etiology; D003937:Diagnosis, Differential; D004630:Emergencies; D006045:Goiter, Substernal / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D006406:Hematoma / Q000150:complications* / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D008946:Mitral Valve Stenosis / Q000150:complications / Q000188:drug therapy; D012307:Risk Factors; D013965:Thyroidectomy / Q000379:methods; D016896:Treatment Outcome
D000925:Anticoagulants