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 Acute upper airway obstruction as a life-threatening complication of ventral bulla osteotomy: report of two consecutive cases

2021 ◽  
Vol 7 (1) ◽  
pp. 205511692110059
Author(s):  
Michal Vlasin ◽  
Richard Artingstall ◽  
Barbora Mala
Keyword(s):  
Airway Obstruction ◽  
Clinical Signs ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Single Session ◽  
Inflammatory Polyp ◽  
Case Summary ◽  
First Case ◽  
Life Threatening

Case summary This paper presents two cases of acute postoperative upper airway obstruction following ventral bulla osteotomy (VBO) in cats. The first cat underwent a unilateral left-sided VBO for a suspected inflammatory polyp. The second cat underwent a single-session bilateral VBO procedure for bilateral otitis media. In the first case, immediate re-intubation and a gradual lightening of the anaesthetic plane resolved the clinical signs; in the second case, the patient deteriorated and went into acute cardiorespiratory arrest and received cardiopulmonary resuscitation. Both patients recovered well and were discharged home 3 days after surgery. Both cases were reported to show no further clinical signs on postoperative follow-up 3 weeks and 4 months after surgery, respectively. Relevance and novel information Upper airway obstruction should be regarded as a potential complication of VBO in cats.

scholarly journals Blastomycosis of the Vocal folds with Life-Threatening upper Airway Obstruction: A Case Report

2002 ◽  
Vol 81 (12) ◽  
pp. 852-855 ◽  
Author(s):  
Celso T. Ebeo ◽  
Kenneth Olive ◽  
Ryland P. Byrd ◽  
Girish Mirle ◽  
Thomas M. Roy ◽  
...  
Keyword(s):  
Lower Respiratory Tract ◽  
Pulmonary Infection ◽  
Upper Airway ◽  
Vocal Folds ◽  
The United States ◽  
Inappropriate Therapy ◽  
Airway Compromise ◽  
Inflammatory Phase ◽  
Life Threatening ◽  
Laryngeal Involvement

Blastomycosis is a chronic fungal disease that primarily affects the lower respiratory tract. The acute inflammatory phase of the primary pulmonary infection is characterized by a lymphohematogenous spread to extrapulmonary sites, especially the skin. The presence of disseminated infection with Blastomyces dermatitidis in the larynx is unusual. In areas of the United States where this fungus is endemic, failure to consider laryngeal involvement might lead to inappropriate therapy and thus worsening inflammation and 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.

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.

scholarly journals Primary Solitary Hydatid Cyst of Brain in a 12-Year-Old Boy: A Case Report

2019 ◽  
Author(s):  
Naeem RAVANBAKHSH ◽  
Navid RABIEE ◽  
Jalal AHMADI
Keyword(s):  
Case Report ◽  
Hydatid Cyst ◽  
Unusual Case ◽  
Rare Condition ◽  
Zoonotic Disease ◽  
Organ Involvement ◽  
Diagnosis And Management ◽  
Life Threatening ◽  
Proper Diagnosis ◽  
Intracranial Hydatid Cyst

Hydatidosis is a zoonotic disease caused by Echinococcus parasite that frequently involves liver and lungs. Primary intracranial hydatidosis is a rare condition which can be life threatening if ruptured. Here we report an unusual case of primary intracranial hydatid cyst without any other organ involvement, diagnosed in a 12-year-old boy in Emam Reza hospital, Birjand, Iran in November 2016, in order to focus on the importance of proper diagnosis and management, especially in endemic areas.

Unusual cause of acute upper airway obstruction: spontaneous pharyngeal haematoma

2021 ◽  
Vol 14 (3) ◽  
pp. e242061
Author(s):  
Kohei Okada ◽  
Yuji Okazaki ◽  
Toshihisa Ichiba ◽  
Yusuke Higashi
Keyword(s):  
Airway Obstruction ◽  
Sore Throat ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Airway Protection ◽  
Emergency Airway ◽  
Contrast Enhanced Ct ◽  
Contrast Enhanced ◽  
Enhanced Ct ◽  
Life Threatening

Spontaneous pharyngeal haematoma is a rare but life-threatening cause of acute upper airway obstruction, and the clinical manifestation may mimic haemoptysis. A 65-year-old man presented to our emergency department with symptoms of sore throat and haemoptysis. He had no medical history. At arrival, O2 saturation was 95% on 5 L/min of oxygen with a mask. Results of a blood examination including a coagulation test were normal. Laryngoscopy showed enlargement of the left pharynx and a narrowed airway. Contrast-enhanced CT showed extravascular leakage of contrast medium inside the left pharyngeal haematoma. Fortunately, the haematoma did not lead to airway obstruction, and it decreased spontaneously. We finally diagnosed this case as spontaneous pharyngeal haematoma. When we examine a patient with a symptom of haemoptysis accompanied by sore throat, it is necessary to consider pharyngeal haematoma and to prepare emergency airway protection for acute upper airway obstruction.

scholarly journals Office Removal of a Subglottic Bread Clip

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
David E. Rosow ◽  
Si Chen
Keyword(s):  
Foreign Body ◽  
Unusual Case ◽  
Foreign Bodies ◽  
Upper Airway ◽  
Tracheobronchial Tree ◽  
Life Threatening ◽  
Successful Removal ◽  
Lidocaine Spray ◽  
Threatening Situation ◽  
Unusual Case Report

Objective. The presence of an upper airway foreign body is an emergent, potentially life-threatening situation that requires careful but rapid evaluation and management. Organic or nonorganic material may typically be found in the pyriform sinuses or tongue base or may be aspirated directly into the tracheobronchial tree. We present here an unusual case report of a patient who accidentally ingested a plastic bread clip that was lodged in his subglottis for 15 months and report successful removal in the office under local anesthesia.Methods. Mucosal anesthesia was achieved with inhaled 4% lidocaine spray. Flexible laryngoscopic removal of the foreign body was then successfully accomplished.Results. The patient’s symptoms resolved completely following removal, with no sequelae.Conclusions. Office removal of airway foreign bodies is feasible and can be safely done with adequate topical anesthesia, but great caution and emergency planning must be exercised.

Silent Sinus Syndrome Secondary to Lymphoma: An Unusual Case With Radiological Evidence of Rapid Progression

2021 ◽  
pp. 000348942110471
Author(s):  
Praveena Deekonda ◽  
Huw A. S. Jones
Keyword(s):  
Maxillary Sinus ◽  
Unusual Case ◽  
Rare Condition ◽  
Clinical Findings ◽  
Lymphocytic Leukemia ◽  
Sinus Surgery ◽  
Rapid Progression ◽  
Silent Sinus Syndrome ◽  
Eye Symptoms ◽  
Sinus Ostium

Objective: To describe a case of silent sinus syndrome secondary to malignancy and discuss the pertinent clinical findings. Silent Sinus Syndrome (SSS) refers to a rare, asymptomatic condition whereby occlusion of the maxillary sinus ostium results in gradual resorption of air, creation of negative pressure and collapse of the maxillary walls. Methods: Review of medical records and literature review using NCBI/PubMed. Results: We describe a case of a 54-year-old gentleman presenting solely with enophthalmos. He had been diagnosed with stage IVa small lymphocytic lymphoma (SLL) 1.5 years prior to this, which was being managed with active surveillance. CT demonstrated severe bowing of the anterior and posterolateral wall, inferior displacement of the floor of the orbit and right enophthalmos, thus supporting a diagnosis of silent sinus syndrome. Compared to previous staging CT at the time of the lymphoma diagnosis these findings were entirely new, and soft tissue in the pterygomaxillary fissure was found to be enlarged. The patient underwent endoscopic sinus surgery and a right maxillary mega-antrostomy was performed to ventilate the maxillary sinus and prevent progression of eye symptoms. A biopsy was taken from the pterygopalatine fossa, which was confirmed to be chronic lymphocytic leukemia (CLL). Conclusion: This case is unique both in being secondary to malignancy, as well as being rapidly progressive given the presence of radiologically normal appearances 1.5 years prior to presentation. Although a rare condition, prompt recognition of SSS is vital to prevent ophthalmological complications. This report highlights malignancy as a potential cause in cases with focal bony remodeling.

An unusual case of life-threatening airway compromise complicating a neck dissection

2015 ◽  
Vol 39 (4) ◽  
pp. 315-316
Author(s):  
Poonam Valand ◽  
Christopher John Lewis ◽  
Stuart Marsden ◽  
Philip Rubin
Keyword(s):  
Neck Dissection ◽  
Unusual Case ◽  
Airway Compromise ◽  
Life Threatening

scholarly journals Spontaneous Epiglottic Hematoma Secondary to Supratherapeutic Anticoagulation

2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Cody A. Koch ◽  
Steven M. Olsen ◽  
Amy M. Saleh ◽  
Laura J. Orvidas
Keyword(s):  
Soft Tissues ◽  
Upper Airway ◽  
Airway Compromise ◽  
Life Threatening ◽  
Anticoagulated Patient ◽  
Life Threatening Complication ◽  
Spontaneous Hematoma

Hemorrhage into the soft tissues of the airway represents a potentially life-threatening complication of long-term anticoagulation. We report the case of a chronically anticoagulated 37-year-old male who developed a spontaneous hematoma of the epiglottis secondary to a supra-therapeutic INR. Epiglottic hematoma should be considered in the differential of any anticoagulated patient presenting with upper airway compromise. The airway should be secured in a controlled fashion, and the coagulopathy should be rapidly corrected.

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