A Case of Airway Obstruction Secondary to Acute Haemorrhage into a Benign Thyroid Cyst
A 70-year-old female, with a history of progressive dyspnoea, was admitted to the critical care unit after successful resuscitation following a witnessed, out of hospital cardiorespiratory arrest. A presumptive diagnosis of cardiorespiratory arrest secondary to an exacerbation of chronic obstructive...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Critical Care |
| Online Access: | http://dx.doi.org/10.1155/2014/372369 |
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| author | Ravi Vijapurapu Kamal Kaur Neil H. Crooks |
| author_facet | Ravi Vijapurapu Kamal Kaur Neil H. Crooks |
| author_sort | Ravi Vijapurapu |
| collection | DOAJ |
| description | A 70-year-old female, with a history of progressive dyspnoea, was admitted to the critical care unit after successful resuscitation following a witnessed, out of hospital cardiorespiratory arrest. A presumptive diagnosis of cardiorespiratory arrest secondary to an exacerbation of chronic obstructive pulmonary disease was made. However, on more detailed examination a large anterior, midline neck mass was noted. Following tracheal intubation, a computerised tomography scan of the patient’s neck and thorax revealed a seven-centimetre, well-defined, nonenhancing, rounded homogeneous opacity at the thoracic inlet, consistent with a large midline thyroid cyst. Needle aspiration of the cyst was performed and yielded approximately 50 mL of frank blood. After an uncomplicated tracheal extubation and recovery, an elective subtotal thyroidectomy was performed prior to hospital discharge. Histology of the specimen revealed a benign thyroid cyst within a multinodular goitre. Euthyroid multinodular goitres are more likely to be managed conservatively due to an asymptomatic clinical course in most patients. However, the risk of respiratory distress and acute airway obstruction from tracheal compression or acute haemorrhage should be kept in mind. Patients at risk of this life threatening complication should be managed with elective thyroidectomy to reduce morbidity and mortality. |
| format | Article |
| id | doaj-art-8d0d71fd20184c3d8cc3cd9c80bc0e7b |
| institution | OA Journals |
| issn | 2090-6420 2090-6439 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Critical Care |
| spelling | doaj-art-8d0d71fd20184c3d8cc3cd9c80bc0e7b2025-08-20T02:09:34ZengWileyCase Reports in Critical Care2090-64202090-64392014-01-01201410.1155/2014/372369372369A Case of Airway Obstruction Secondary to Acute Haemorrhage into a Benign Thyroid CystRavi Vijapurapu0Kamal Kaur1Neil H. Crooks2Sandwell & West Birmingham Hospitals NHS Trust, Dudley Road, Birmingham, B18 7QH, UKSandwell & West Birmingham Hospitals NHS Trust, Dudley Road, Birmingham, B18 7QH, UKAcademic Department of Anaesthesia, Critical Care, Pain & Resuscitation, Birmingham Heartlands Hospital, 1st Floor MIDRU Building, Bordesley Green East, Birmingham B9 5SS, UKA 70-year-old female, with a history of progressive dyspnoea, was admitted to the critical care unit after successful resuscitation following a witnessed, out of hospital cardiorespiratory arrest. A presumptive diagnosis of cardiorespiratory arrest secondary to an exacerbation of chronic obstructive pulmonary disease was made. However, on more detailed examination a large anterior, midline neck mass was noted. Following tracheal intubation, a computerised tomography scan of the patient’s neck and thorax revealed a seven-centimetre, well-defined, nonenhancing, rounded homogeneous opacity at the thoracic inlet, consistent with a large midline thyroid cyst. Needle aspiration of the cyst was performed and yielded approximately 50 mL of frank blood. After an uncomplicated tracheal extubation and recovery, an elective subtotal thyroidectomy was performed prior to hospital discharge. Histology of the specimen revealed a benign thyroid cyst within a multinodular goitre. Euthyroid multinodular goitres are more likely to be managed conservatively due to an asymptomatic clinical course in most patients. However, the risk of respiratory distress and acute airway obstruction from tracheal compression or acute haemorrhage should be kept in mind. Patients at risk of this life threatening complication should be managed with elective thyroidectomy to reduce morbidity and mortality.http://dx.doi.org/10.1155/2014/372369 |
| spellingShingle | Ravi Vijapurapu Kamal Kaur Neil H. Crooks A Case of Airway Obstruction Secondary to Acute Haemorrhage into a Benign Thyroid Cyst Case Reports in Critical Care |
| title | A Case of Airway Obstruction Secondary to Acute Haemorrhage into a Benign Thyroid Cyst |
| title_full | A Case of Airway Obstruction Secondary to Acute Haemorrhage into a Benign Thyroid Cyst |
| title_fullStr | A Case of Airway Obstruction Secondary to Acute Haemorrhage into a Benign Thyroid Cyst |
| title_full_unstemmed | A Case of Airway Obstruction Secondary to Acute Haemorrhage into a Benign Thyroid Cyst |
| title_short | A Case of Airway Obstruction Secondary to Acute Haemorrhage into a Benign Thyroid Cyst |
| title_sort | case of airway obstruction secondary to acute haemorrhage into a benign thyroid cyst |
| url | http://dx.doi.org/10.1155/2014/372369 |
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