The Journal of emergency medicine · 2025
The Use of Point-of-Care Ultrasound for Suspected Traumatic Thyroid Gland Rupture.
СтатьяКлинический случайНазвание и аннотация: Перевод в очереди
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Kitai Yuya, Sato Ryota, Kurabayashi Risako, Inoue Tetsuya
Аннотация
BACKGROUND: Thyroid gland rupture is extremely rare, typically occurring in individuals with underlying thyroid enlargement or hyperthyroidism. Thyroid gland rupture can lead to life-threatening complications such as airway obstruction or thyroid storms.
CASE REPORT: A 19-year-old male with no past medical history presented to the emergency department (ED) with painful swelling in the anterior neck after blunt neck trauma. The patient reported pain while swallowing but denied dyspnea or difficulty swallowing. Point-of-care ultrasound (POCUS) of the anterior neck area revealed hypo-echoic hematoma in the right lobe of the thyroid gland. A subsequent computed tomography (CT) scan with intravenous contrast confirmed that the right lobe of thyroid was enlarged with no contrast enhancement in the center of the right lobe. A thyroid gland rupture was finally diagnosed. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Emergency physicians should consider this rare but potentially serious injury in patients with blunt neck trauma and tailor the management based on the extent of thyroid damage, risk of airway compromise, and thyroid function status. This case suggests that POCUS can be a powerful tool when clinicians suspect thyroid gland rupture.
CASE REPORT: A 19-year-old male with no past medical history presented to the emergency department (ED) with painful swelling in the anterior neck after blunt neck trauma. The patient reported pain while swallowing but denied dyspnea or difficulty swallowing. Point-of-care ultrasound (POCUS) of the anterior neck area revealed hypo-echoic hematoma in the right lobe of the thyroid gland. A subsequent computed tomography (CT) scan with intravenous contrast confirmed that the right lobe of thyroid was enlarged with no contrast enhancement in the center of the right lobe. A thyroid gland rupture was finally diagnosed. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Emergency physicians should consider this rare but potentially serious injury in patients with blunt neck trauma and tailor the management based on the extent of thyroid damage, risk of airway compromise, and thyroid function status. This case suggests that POCUS can be a powerful tool when clinicians suspect thyroid gland rupture.