scholarly journals 711 Atypical Presentation of a Ruptured Thyroid Cyst

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
Y Sahib ◽  
M Aziz ◽  
M Benamer
Keyword(s):  
Chest Wall ◽  
Early Recognition ◽  
Thyroid Tissue ◽  
Common Finding ◽  
Airway Compromise ◽  
Fine Needle Aspirate ◽  
Anterior Neck ◽  
Fine Needle ◽  
Thyroid Cyst ◽  
Life Threatening

Abstract Introduction Thyroid cysts are a common finding with the bulk of cases being benign and approximately only 5% being malignant. The majority of these cysts are managed conservatively in the absence of malignancy or compressive symptoms. Case presentation A middle-aged female patient presented with sudden onset anterior neck bruising but minimal specific symptomatology. On examination, the patient had bruising around the anterior neck and chest wall. CT and MRI scanning of the neck revealed the bruising was attributed to a ruptured thyroid cyst. On follow up, an ultrasound guided fine-needle aspirate revealed the histology to be inflammatory follicular thyroid tissue. D iscussion The case demonstrated a rare presentation, given the lack of trauma in her history nor the presence of more sinister conditions as demonstrated by the fine-needle aspirate. Normally hemorrhage of thyroid cysts are due to trauma or abnormal thyroid vasculature. There are a few previous case reports of similar presentations where ruptured thyroid cysts led to life-threatening airway compromise requiring intubation. Early recognition of these thyroid cyst complications is crucial. Conclusion Neck and anterior chest wall hematoma can be a sign of thyroid cyst rupture/hemorrhage. It is important to recognize this sign to prevent life-threatening airway compromise.

Traumatic Retropharyngeal Abscess of Insidious Onset -a case report and literature review (Preprint)

2018 ◽  
Author(s):  
Shuaib Kayode Aremu
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Retropharyngeal Abscess ◽  
Airway Compromise ◽  
Neck Trauma ◽  
Anterior Neck ◽  
Insidious Onset ◽  
Life Threatening

UNSTRUCTURED Retropharyngeal abscess is an abscess of the deep spaces in the neck which if not treated urgently can be life-threatening as a result of airway compromise. It is important to detect and treat very early. It may arise in pediatrics from direct neck trauma which is not very common and fishbone impaction. Direct anterior neck trauma resulting in insidious retropharyngeal abscess has not been widely reported.

Spontaneous retro- and parapharyngeal haematoma caused by intrathyroid bleed

2002 ◽  
Vol 116 (10) ◽  
pp. 854-858 ◽  
Author(s):  
Vinidh Paleri ◽  
Raja S. Maroju ◽  
Mahmoud S. Ali ◽  
Robert W. Ruckley
Keyword(s):  
Parapharyngeal Space ◽  
Airway Compromise ◽  
Rare Entity ◽  
Treatment Results ◽  
Management Guidelines ◽  
Thyroid Cyst ◽  
Life Threatening ◽  
First Time ◽  
Spontaneous Haemorrhage

A case of spontaneous haemorrhage into the retropharyngeal and parapharyngeal space secondary to bleeding from a thyroid cyst is described. While many conditions are known to cause this entity, no previous papers have reported a thyroid cyst to cause such extensive haemorrhage. Haemorrhage in these spaces is of particular importance as it causes rapid airway compromise and can be life-threatening. Forty cases of non-traumatic retropharyngeal and parapharyngeal haematomas have been reported in the literature to date. Although the diagnosis can be easily established in most patients, no published review of this condition exists. This paper reviews all reports of non-traumatic retropharyngeal and parapharyngeal haematoma published in the literature to date and discusses management guidelines. We also present here for the first time the demographics and treatment results of this rare entity.

scholarly journals Life-Threatening Retropharyngeal Hemorrhage Secondary to Rupture of the Inferior Thyroid Artery

2015 ◽  
Vol 2015 ◽  
pp. 1-2 ◽  
Author(s):  
Cristina G. Calogero ◽  
Andrew C. Miller ◽  
Marna Rayl Greenberg
Keyword(s):  
Diagnostic Testing ◽  
Arterial Embolization ◽  
Inferior Thyroid Artery ◽  
Airway Compromise ◽  
Neck Swelling ◽  
Anterior Neck ◽  
Life Saving ◽  
Thyrocervical Trunk ◽  
Life Threatening ◽  
Retropharyngeal Hematoma

Inferior thyroid artery (ITA) rupture is rare and may progress to life-threatening conditions. We present a patient who visited the emergency department after an episode of syncope and dizziness in which he had a mechanical fall that resulted in abrasions and a hematoma to his left forehead. The patient presented with dysphagia and anterior neck swelling that progressed rapidly into airway compromise requiring endotracheal intubation. Emergent computed tomography revealed a large retropharyngeal hematoma, with active arterial extravasation that was thought to be arising from the thyrocervical trunk on the left. The hematoma measured approximately 6.7 cm transversely and 3.2 cm anteroposteriorly and extended from the level of the lower nasopharynx, down the neck into the retropharyngeal and danger space and into the mediastinum posterior to the esophagus, overall approximately 25 cm. The larynx was deviated anteriorly and there was esophageal compression. An emergent arteriogram and catheterization confirmed bleeding from branches of the ITA, and successful embolization was performed. It is important to recognize the ITA rupture as a potential etiology of an acute airway compromise. In emergent situations, while securing an airway is a priority, rapidly initiating diagnostic testing to confirm the diagnosis and arranging for arterial embolization can be life-saving.

Spontaneous Thyroid Haemorrhage: A Cause of Upper Airway Obstruction

2019 ◽  
Vol 18 (4) ◽  
pp. 248-250
Author(s):  
Micheal Wong ◽  
◽  
Yogesvaran Kanapaty ◽  
Yew Toong Liew ◽  
Adzreil Bakri ◽  
...  
Keyword(s):  
Unusual Case ◽  
Clinical Signs ◽  
Upper Airway ◽  
Rare Condition ◽  
Clinical Findings ◽  
Airway Compromise ◽  
Airway Protection ◽  
Anterior Neck ◽  
Life Threatening ◽  
Intravenous Steroids

Background: Spontaneous thyroid haemorrhage is a very rare condition that is potentially life-threatening. We report an unusual case of spontaneous thyroid haemorrhage leading to airway compromise requiring urgent intervention. We highlight key clinical findings and management steps with comparison to similar cases in the literature. Case Summary: An adult male presented with sudden anterior neck swelling and bruises on his neck and chest with hoarseness and dysphagia. Clinical assessment and CT scan revealed a thyroid haemorrhage with laryngopharyngeal, neck and chest haematoma. He was intubated for airway protection and given intravenous steroids and antibiotics. He was extubated well after 3 days. Conclusion: Careful prompt management of the patient’s airway is of vital importance as worsening haematoma can lead to rapid airway compromise. Acute physicians should be aware of the clinical signs of thyroid haemorrhage, as this rare condition may present to the acute medical take.

scholarly journals Prevention and management of major complications in percutaneous endoscopic gastrostomy

2021 ◽  
Vol 8 (1) ◽  
pp. e000628
Author(s):  
Kurt Boeykens ◽  
Ivo Duysburgh
Keyword(s):  
Clinical Practice ◽  
Abdominal Wall ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Early Recognition ◽  
Endoscopic Technique ◽  
Abdominal Wound ◽  
Review Of The Literature ◽  
Endoscopic Gastrostomy ◽  
Major Complications ◽  
Life Threatening

BackgroundPercutaneousendoscopic gastrostomy is a commonly used endoscopic technique where a tube isplaced through the abdominal wall mainly to administer fluids, drugs and/orenteral nutrition. Several placement techniques are described in the literaturewith the ‘pull’ technique (Ponsky-Gardener) as the most popular one.Independent of the method used, placement includes a ‘blind’ perforation of thestomach through a small acute surgical abdominal wound. It is a generally safetechnique with only few major complications. Nevertheless these complicationscan be sometimes life-threatening or generate serious morbidity.MethodAnarrative review of the literature of major complications in percutaneousendoscopic gastrostomy.ResultsThis review was written from a clinical viewpoint focussing on prevention andmanagement of major complications and documentedscientific evidence with real cases from more than 20 years of clinical practice.ConclusionsMajorcomplications are rare but prevention, early recognition and popper management areimportant.

scholarly journals A case of amniotic fluid embolism successfully treated by multidisciplinary treatment

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Yuki Kinishi ◽  
Chiyo Ootaki ◽  
Takeshi Iritakenishi ◽  
Yuji Fujino
Keyword(s):  
Amniotic Fluid ◽  
Early Recognition ◽  
Multidisciplinary Treatment ◽  
Balloon Catheter ◽  
Amniotic Fluid Embolism ◽  
Pathological Examination ◽  
Total Blood ◽  
Occlusion Balloon ◽  
Life Threatening ◽  
Labor Epidural

Abstract Background Amniotic fluid embolism (AFE) is a life-threatening obstetric emergency. Because the maternal mortality associated with AFE is very high, early recognition and prompt treatment are important for improving the prognosis. We report a case of amniotic fluid embolism successfully treated by multidisciplinary treatment. Case presentation A 39-year-old woman with fetal congenital heart anomaly and polyhydramnios was scheduled for induction of delivery at 37 weeks of gestation with labor epidural analgesia. Uncontrollable bleeding occurred 30 min after vaginal delivery. Based on the clinical diagnosis of AFE, massive blood transfusion, insertion of an aortic occlusion balloon catheter, and hysterectomy was performed. Total blood loss was 12,000 mL. The diagnosis of AFE was confirmed by pathological examination. She was discharged with no complications. Conclusion We report a case of AFE who were rescued by prompt diagnosis and treatment.

scholarly journals Tick-Borne-Associated Illnesses in the Pediatric Intensive Care Unit

2020 ◽  
Vol 15 (06) ◽  
pp. 269-275
Author(s):  
Kaila Lessner ◽  
Conrad Krawiec
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Early Recognition ◽  
Spotted Fever ◽  
Pediatric Intensive Care ◽  
Rocky Mountain ◽  
Rocky Mountain Spotted Fever ◽  
Life Threatening ◽  
Human Ehrlichiosis

AbstractWhen unrecognized and antibiotic delay occurs, Lyme disease, Rocky Mountain–spotted fever, babesiosis, and human ehrlichiosis and anaplasmosis can result in multiorgan system dysfunction and potentially death. This review focuses on the early recognition, evaluation, and stabilization of the rare life-threatening sequelae seen in tick-borne illnesses that require admission in the pediatric intensive care unit.

scholarly journals An unusual cause of recurrent pediatric vomiting (an extraluminal pyloric duplication cystic): A case report

2020 ◽  
Vol 2020 (12) ◽  
Author(s):  
Leen Jamel Doya ◽  
Naya Talal Hassan ◽  
Fareeda Wasfy Bijow ◽  
Hanin Ahmed Mansour ◽  
Sawsan Ahmad ◽  
...  
Keyword(s):  
Gastrointestinal Endoscopy ◽  
Early Recognition ◽  
Outlet Obstruction ◽  
Abdominal Ultrasound ◽  
Duplication Cyst ◽  
Common Symptom ◽  
Surgical Emergencies ◽  
Recurrent Vomiting ◽  
Life Threatening ◽  
Tomography Scan

ABSTRACT Vomiting is a common symptom of a multitude of diseases in children. It is usually part of benign illness and can occur at any age. Recurrent vomiting can be a symptom of life-threatening medical or surgical emergencies. It can be rarely caused by an extraluminal pyloric duplication cyst. Early recognition is essential for preventing delays in management and potential complications. Here we report a case of an extraluminal pyloric duplication presenting as progressive gastric outlet obstruction cyst in a 14-month-old Syrian boy. The diagnosis was made through abdominal ultrasound, gastrointestinal endoscopy and abdominal computed tomography scan.

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