Spontaneous cervical and mediastinal hematoma due to rupture of inferior thyroid artery

A 62-year-old man was referred to our hospital presenting with a sore throat, dyspnea, and cervical swelling. Initial precontrast CT scans revealed a cervical and mediastinal hematoma, along with a hemothorax. Further dynamic contrast-enhanced CT scans indicated contrast media extravasation dorsal t...

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Bibliographic Details
Main Authors:	Takayuki Yamada, MD, PhD, Satoru Yanagaki, MD, PhD, Nozomi Satani, MD, PhD, Yuriko Kagaya, MD, Tomoni Sato, MD, PhD, Tomonori Matsuura, MD, PhD, Teruyuki Sato, MD, PhD, Naoya Noguchi, MD, PhD, Nobuo Ohta, MD, PhD
Format:	Article
Language:	English
Published:	Elsevier 2025-02-01
Series:	Radiology Case Reports
Subjects:	Spontaneous hematoma Neck Mediastinum Thyroid artery Rupture
Online Access:	http://www.sciencedirect.com/science/article/pii/S1930043324012822
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Summary:	A 62-year-old man was referred to our hospital presenting with a sore throat, dyspnea, and cervical swelling. Initial precontrast CT scans revealed a cervical and mediastinal hematoma, along with a hemothorax. Further dynamic contrast-enhanced CT scans indicated contrast media extravasation dorsal to the right thyroid gland lobe, suggesting a rupture of the right inferior thyroid artery or a parathyroid adenoma. Following endotracheal intubation, angiography confirmed extravasation from the right inferior thyroid artery. Transarterial embolization (TAE) was successfully performed using a gelatin sponge. The cervical and mediastinal hematoma were surgically excised, and the right inferior parathyroid gland was simultaneously resected. Pathological examination revealed no neoplastic components.
ISSN:	1930-0433

Spontaneous cervical and mediastinal hematoma due to rupture of inferior thyroid artery

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