Int J Thyroidol.  2015 Nov;8(2):187-189. 10.11106/ijt.2015.8.2.187.

Life-Threatening Upper Airway Obstruction Caused by Delayed Hematoma Occurring 8 Days Post-Thyroidectomy

Affiliations
  • 1Department of Otolaryngology-Head and Neck Surgery, Cancer Research Institute, Research Institute for Medical Sciences, Chungnam National University College of Medicine, Daejeon, Korea. bskoo515@cnuh.co.kr

Abstract

Due to modern methods, thyroid surgery is generally considered quite safe. However, post-thyroidectomy hematomas, although rare, can be life-threatening and unpredictable complications of thyroid surgery. Most postthyroidectomy hematomas occur within 24 hours of surgery, with delayed hematomas occurring after one post-operative week being exceedingly rare. Herein, we report a case of delayed post-thyroidectomy hematoma with respiratory distress occurring on the eighth post-operative day in a patient who was not taking anticoagulants and had no hematologic diseases. Although most bleeding occurs within 24 hours, caution should be used even in such patients who are considered low-risk.

Keyword

Thyroidectomy; Hematoma; Postoperative complication

MeSH Terms

Airway Obstruction*
Anticoagulants
Hematologic Diseases
Hematoma*
Hemorrhage
Humans
Postoperative Complications
Thyroid Gland
Thyroidectomy
Anticoagulants

Figure

  • Fig. 1. Neck angio-computed tomography (CT) scan of our patient. It showed a low-attenuating lesion with partial rim enhancement, suggesting a hematoma in the thyroidectomy bed.


Reference

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