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Spontaneous rupture with pseudoaneurysm formation in a nodular goiter presenting as a large neck mass
Author(s) -
Chang ChiaChe,
Chou YiHong,
Tiu ChuiMei,
Chiou HongJen,
Wang HsinKai,
Chiou SeeYing,
Chen SiewPeng,
Chang MingWei,
Chang ChiHoung,
Hong TingHan
Publication year - 2007
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.20314
Subject(s) - medicine , pseudoaneurysm , neck mass , goiter , hematoma , radiology , thyroid , ultrasound , airway obstruction , surgery , airway , aneurysm
Abstract Acute airway obstruction caused by goiter hemorrhage is a rare but potentially life‐threatening condition. We report a case of nodular goiter in which spontaneous rupture with active bleeding developed suddenly, presenting as a large neck mass with dyspnea. Sonographic examination revealed a large inhomogeneous soft tissue mass in the left thyroid lobe containing some hypoechoic areas. Color Doppler and spectral Doppler analysis were consistent with a large hematoma and pseudoaneurysm, which was subsequently confirmed at surgery. © 2007 Wiley Periodicals, Inc. J Clin Ultrasound, 2007