scholarly journals Extensive Neck Haematoma as an Extremely Rare Presentation of Thyroid Carcinoma: A Case Report

2020 ◽  
Vol 4 (3) ◽  
pp. 226
Author(s):  
Lo Ren Hui ◽  
Fairuz Mohd Ibrahim ◽  
Khairudin Abdullah ◽  
Nasriah Ahmad ◽  
Fazilah Hassan ◽  
...  

Anaplastic thyroid carcinoma (ATC) is uncommon but deadly. It is typically presented with fast growing neck mass, hoarseness or dysphagia. We report an extremely rare presentation of ATC in an elderly lady, with expanding ecchymosis involving laryngopharynx, neck and upper chest region, which causing upper airway obstruction. The rarity of presentation and the management dilemma were discussed.International Journal of Human and Health Sciences Vol. 04 No. 03 July’20 Page : 226-228

2021 ◽  
pp. 1-11
Author(s):  
Ahmad Izani Mohd Safian ◽  
Kamaruddin Ibrahim ◽  
Seoparjoo Azmel Mohd Isa ◽  
Norhafiza Mat Lazim ◽  
Irfan Mohamad

There are many important concerns and issues raised in managing acute airway obstruction cases with regards to the current COVID-19 pandemic. As a further matter, a patient with a huge thyroid mass in anaplastic thyroid carcinoma (ATC) presenting with impending airway obstruction poses treatment challenges, as immediate active intervention is necessary despite the risk of spreading of COVID-19 viruses. The unknown status of COVID-19 of the patient will add additional concerns during active assessment and treatment as patients with this undifferentiated thyroid carcinoma commonly deteriorate fast. This carcinoma may also invade the trachea and result in upper airway obstruction leading to a fatal outcome. Therefore, an appropriate treatment strategy is essential. This report highlights a case of an ATC patient who presented with diffuse cemented-hard anterior neck, whereby the whole management of ATC with acute airway obstruction during this COVID-19 pandemic is purely contentious and challenging. The issue of providing artificial ventilation either via intubation or tracheostomy is made more complicated as the patient presents with an acute upper airway obstruction whilst the COVID-19 status is unknown. While endotracheal intubation approach was not easy, the trachea was also difficult to be identified externally due to the huge ‘cemented-hard’ mass plastered over the compressed trachea. Due to the advanced disease, surgical intervention was not an option.


1989 ◽  
Vol 297 (3) ◽  
pp. 176-177 ◽  
Author(s):  
Maria Chiriboga ◽  
John Oropello ◽  
Krishnan Padmanabhan ◽  
Joel M. Goldman

2018 ◽  
Vol 47 (4) ◽  
pp. 334-336 ◽  
Author(s):  
Khaled Murshed ◽  
Issam Al-Bozom ◽  
Surjith Vattoth ◽  
Mohammed Akhtar

Author(s):  
Janice Wang ◽  
Astha Chichra ◽  
Seth Koenig

We present a rare cause of hypercapneic respiratory failure through this case report of a 72-year-old man presenting with progressive dyspnea and dysphagia over two years. Hypercapneic respiratory failure was acute on chronic in nature without an obvious etiology. Extensive workup for intrinsic pulmonary disease and neurologic causes were negative. Laryngoscopy and diagnostic imaging confirmed the diagnosis of diffuse idiopathic skeletal hyperostosis, also known as DISH, as the cause of upper airway obstruction leading to hypercapneic respiratory failure.


2018 ◽  
Vol 27 (1) ◽  
pp. 37-41
Author(s):  
Iulia Szabo ◽  
◽  
Cristina Tiple ◽  
Magdalena Chirila ◽  
Simona Rednic ◽  
...  

2020 ◽  
Vol 13 (12) ◽  
pp. e237764
Author(s):  
Ming Kai Teah ◽  
Yeen Mei Chu ◽  
Sakuntala Dewi Shanmuganathan ◽  
Tat Boon Yeap

Intubations are important live saving skills to maintain adequate ventilation and oxygenation. Common indications include impending upper airway obstruction, respiratory failure and impaired conscious level. Oral myiasis is an infrequently found disease which is characterised by ectoparasitic infestation of body tissues by fly maggots.We present a case report and share valuable experiences on a patient with massive airway myiasis causing upper airway obstruction which require emergency intubation.


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