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A Case of Sudden Diffuse Thyroid Swelling after Fine Needle Aspiration Cytology where Changes over Time Were Confirmed by Ultrasonography
- Source :
- International Journal of Practical Otolaryngology. :e1-e5
- Publication Year :
- 2021
- Publisher :
- Georg Thieme Verlag KG, 2021.
-
Abstract
- We encountered a case of diffuse thyroid swelling after fine needle aspiration (dTSaFNA) cytology, and monitored the swelling by thyroid ultrasonography. The scan findings are reported. A 57-year-old female visited our hospital complaining of swelling in her anterior neck. She had a history of metal allergy and was not taking any medications. Because a solid cystic tumor was detected in the left thyroid lobe, we decided to perform fine-needle aspiration cytology (FNAC). When the second aspiration was performed with a 22G needle inserted into the nodule in the left lobe, the patient immediately complained of pain in her neck. Within 2 minutes, her anterior neck swelled up and ultrasonography showed vascular dilatation in the left thyroid lobe. Neck cooling with steroid injection was undertaken. However, over the next 5 minutes, the vascular dilatation also spread to the right lobe. About 15 minutes later, the vessels gradually became unclear, and the neck pain and swelling persisted, and the patient was hospitalized for observation. By the following day, all the symptoms and signs had resolved and the patient was discharged. FNA is associated with the risk of neck swelling caused by hemorrhage or dTSaFNA. To make a prompt diagnosis and provide appropriate treatment for this complication, ultrasonography could be useful.
- Subjects :
- medicine.medical_specialty
Neck pain
medicine.diagnostic_test
business.industry
Thyroid
Nodule (medicine)
Lobe
03 medical and health sciences
0302 clinical medicine
medicine.anatomical_structure
Fine-needle aspiration
030220 oncology & carcinogenesis
Cytology
medicine
Radiology
Swelling
medicine.symptom
030223 otorhinolaryngology
Complication
business
Subjects
Details
- ISSN :
- 25691783
- Database :
- OpenAIRE
- Journal :
- International Journal of Practical Otolaryngology
- Accession number :
- edsair.doi...........74d2e37fcfbec0a388c3c20c448e00b9