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.

Massive Retropharyngeal Hematoma with Airway Obstruction after Minor Injury

2017 ◽  
Vol 14 (02/03) ◽  
pp. 095-097
Author(s):  
Shivender Sobti ◽  
Sarvpreet Grewal ◽  
Paul John ◽  
Ashwani Grover
Keyword(s):  
Airway Obstruction ◽  
Airway Compromise ◽  
Minor Injury ◽  
Life Threatening ◽  
Retropharyngeal Hematoma

AbstractRetropharyngeal hematoma can cause life-threatening airway compromise. We present a case of massive retropharyngeal hematoma following minor injury. The patient required immediate tracheostomy followed by evacuation of hematoma and cervical stabilization.

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.

scholarly journals Traumatic Retropharyngeal Hematoma in a Patient Taking Clopidogrel

2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
David P. Betten ◽  
Jennifer L. Jaquint
Keyword(s):  
Symptom Onset ◽  
Elderly Woman ◽  
Antiplatelet Agents ◽  
Airway Compromise ◽  
Delayed Onset ◽  
Life Threatening ◽  
Retropharyngeal Hematoma ◽  
Life Threatening Event

The development of a retropharyngeal hematoma may lead to acute airway compromise requiring emergent airway stabilization. We describe the development of a retropharyngeal hematoma in an elderly woman who sustained a fall from standing approximately 10 hours prior to symptom onset who was taking the antiplatelet agents clopidogrel and aspirin. This delayed onset of rapid airway compromise secondary to a retropharyngeal hematoma following a fall in a patient taking clopidogrel is an unusual and potentially life threatening event.

scholarly journals Late Bleeding after Total Thyroidectomy: Report of Two Cases occurring 13 Days after Operation

2013 ◽  
Vol 6 ◽  
pp. CCRep.S13024 ◽  
Author(s):  
Pietro Giorgio Calò ◽  
Enrico Erdas ◽  
Fabio Medas ◽  
Giuseppe Pisano ◽  
Michela Barbarossa ◽  
...  
Keyword(s):  
Low Molecular Weight Heparin ◽  
Oral Anticoagulants ◽  
Postoperative Bleeding ◽  
Low Molecular Weight ◽  
Close Monitoring ◽  
Neck Swelling ◽  
Anterior Neck ◽  
Postoperative Hematoma ◽  
Life Threatening ◽  
Cervical Exploration

Postoperative hematoma is a rare but potentially life-threatening and unpredictable complication of thyroid surgery. We report two cases of very late postoperative bleeding occurring on the 13th postoperative day in patients treated with low-molecularweight heparin and acenocoumarol. Patient 1 was readmitted with complaints of progressive anterior neck swelling and bleeding from the cervical wound without respiratory distress. The patient had restarted therapy with Acenocoumarol associated with Nadroparin one day before. Under general anesthesia, cervical exploration allowed detection of a superficial hematoma. Patient 2 returned to our institution with subhyoid ecchymosis and moderate blood loss from the left drainage wound. The patient underwent drainage and was treated conservatively. Although most bleeding occurs within 24 hours, caution should be taken in patients on oral anticoagulants and low-molecular weight heparin and close monitoring should also be advised at home after discharge, particularly if anticoagulant therapy has restarted.

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 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.

scholarly journals Bedside examination of the vestibular and ocular motor system in patients with acute vertigo or dizziness

2019 ◽  
Vol 3 (2) ◽  
pp. 2514183X1988615
Author(s):  
Alexander A Tarnutzer ◽  
Marianne Dieterich
Keyword(s):  
Diagnostic Testing ◽  
Initial Assessment ◽  
Head Impulse Test ◽  
Motor Deficits ◽  
Ocular Motor ◽  
Bedside Examination ◽  
Life Threatening ◽  
Ocular Motor System ◽  
Bedside Tests ◽  
The Brain

In the initial assessment of the patient with acute vertigo or dizziness, both structured history-taking and a targeted bedside neuro-otological examination are essential for distinguishing potentially life-threatening central vestibular causes from those of benign, self-limited peripheral labyrinthine origin and thus for deciding on further diagnostic testing. In this article, the key elements of the vestibular and ocular motor examination, which should be obtained at the bedside in these acutely dizzy patients, will be discussed. Specifically, this will include the following five domains: ocular stability for (I) nystagmus and for (II) eye position (skew deviation), (III) the head-impulse test (HIT), (IV) postural stability, and (V) ocular motor deficits of saccades, smooth pursuit eye movements, and optokinetic nystagmus. We will also discuss the diagnostic accuracy of specific combinations of these bedside tests (i.e. HIT, testing for nystagmus and vertical divergence, referred to as the H.I.N.T.S. three-step examination), emphasizing that the targeted neuro-otological bedside examination is more sensitive for identifying central causes in acute prolonged vertigo and dizziness than early MRI of the brain.

scholarly journals Myelodysplastic Syndrome Clinically Presenting with the “Classic TTP Pentad”

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Santiago Fabián Moscoso Martínez ◽  
Evelyn Carolina Polanco Jácome ◽  
Elizabeth Guevara ◽  
Vijay Mattoo
Keyword(s):  
Myelodysplastic Syndrome ◽  
Clinical Presentation ◽  
Renal Involvement ◽  
Medical Emergency ◽  
Complete Blood Cell Count ◽  
Blood Cell Count ◽  
Thrombocytopenic Purpura ◽  
Life Saving ◽  
Threatening Condition ◽  
Life Threatening

The clinical presentation of myelodysplastic syndrome (MDS) is not specific. Many patients can be asymptomatic and can be detected only due to an abnormal complete blood cell count (CBC) on routine exam or for other reasons while others can be symptomatic as a consequence of underlying cytopenias. Thrombotic thrombocytopenic purpura (TTP) usually is suspected under the evidence of microangiopathic hemolytic anemia (MAHA) and thrombocytopenia and because it is a life-threatening condition (medical emergency) immediate initiation of plasmapheresis could be life-saving. The following case illustrates an unusual presentation of MDS in a patient who came in to the emergency room with the classic TTP “pentad” of fever, renal involvement, MAHA, mental status changes, and thrombocytopenia. We will focus our discussion in the clinical presentation of this case.

Yield of Diagnostic Testing in Infants Who Have Had an Apparent Life-Threatening Event

PEDIATRICS ◽  
2005 ◽  
Vol 115 (4) ◽  
pp. 885-893 ◽  
Author(s):  
D. A. Brand ◽  
R. L. Altman ◽  
K. Purtill ◽  
K. S. Edwards
Keyword(s):  
Diagnostic Testing ◽  
Life Threatening ◽  
Life Threatening Event

Cardiac Arrhythmia Detection using Dual Tree Wavelet Transform and Convolutional Neural Network

2021 ◽  
Author(s):  
K Reddy Madhavi ◽  
Padmavathi kora ◽  
L Venkateswara Reddy ◽  
J Avanija ◽  
KLS Soujanya ◽  
...  
Keyword(s):  
Neural Network ◽  
Wavelet Transform ◽  
Cardiac Cells ◽  
P Wave ◽  
Computer Assisted ◽  
Ecg Signals ◽  
Coronary Diseases ◽  
Life Saving ◽  
Life Threatening ◽  
Assisted Diagnosis

Abstract The non-stationary ECG signals are used as a key tools in screening coronary diseases. ECG recording is collected from millions of cardiac cells’ and depolarization and re-polarization conducted in a synchronized manner as: The P-wave occurs first, followed by the QRScomplex and the T-wave, which will repeat in each beat. The signal is altered in a cardiac beat period for different heart conditions. This change can be observed in order to diagnose the patient’s heart status. There are life-threatening (critical) and non-life - threatening (noncritical) arrhythmia (abnormal Heart). Critical arrhythmia gives little time for surgery, whereas non-critical needs additional life-saving care. Simple naked eye diagnosis can mislead the detection. At that point, Computer Assisted Diagnosis (CAD) is therefore required. In this paper Dual Tree Wavelet Transform (DTWT) used as a feature extraction technique along with Convolution Neural Network (CNN) to detect abnormal Heart. The findings of this research and associated studies are without any cumbersome artificial environments. The CAD method proposed has high generalizability; it can help doctors efficiently identify diseases and decrease misdiagnosis.

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