title: Computed tomography diagnosis of active bleeding into the thyroid gland.
abstract: BACKGROUND
  Fine-needle biopsy of the thyroid gland is the most common interventional procedure used to diagnose thyroid diseases. Serious complications are rare in this procedure. They comprise an infection with abscess formation and hemorrhage. To date, only a few case reports have described an ultrasound diagnosis of active bleeding into the thyroid gland. We established such a diagnosis using computed tomography (CT).
  
  
  METHODS
  A 74-year-old woman presented to the emergency department of our hospital with complications after fine-needle biopsy of the thyroid gland. Ultrasound revealed a large hematoma surrounding the gland. A subsequent CT scan confirmed the presence of hematoma and, moreover, showed active bleeding. This finding prompted rapid surgical intervention.
  
  
  CONCLUSIONS
  CT has the capability to show active bleeding into the thyroid gland.
authors: Department of Radiology, University Hospital Olomouc; Department of Radiology, Faculty of Medicine and Dentistry, Palacky University ; Olomouc, Czech Republic.
authors: Lucia
authors: L
authors: Veverková
authors: Lenka
authors: L
authors: Bakaj-Zbrožková
authors: Lucie
authors: L
authors: Hallamová
authors: Miroslav
authors: M
authors: Heřman
mesh_terms: D000368:Aged; D004636:Emergency Service, Hospital; D061765:Endoscopic Ultrasound-Guided Fine Needle Aspiration / Q000009:adverse effects*; D005260:Female; D006044:Goiter, Nodular / Q000175:diagnosis / Q000473:pathology; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D019547:Neck Pain / Q000209:etiology; D019106:Postoperative Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D013959:Thyroid Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D013961:Thyroid Gland / Q000000981:diagnostic imaging / Q000293:injuries* / Q000473:pathology / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome