Spontaneous cervical and mediastinal hematoma due to rupture of inferior thyroid artery

Takayuki Yamada, MD, PhD; Satoru Yanagaki, MD, PhD; Nozomi Satani, MD, PhD; Yuriko Kagaya, MD; Tomoni Sato, MD, PhD; Tomonori Matsuura, MD, PhD; Teruyuki Sato, MD, PhD; Naoya Noguchi, MD, PhD; Nobuo Ohta, MD, PhD

Radiology Case Reports (Feb 2025)

Spontaneous cervical and mediastinal hematoma due to rupture of inferior thyroid artery

Takayuki Yamada, MD, PhD,
Satoru Yanagaki, MD, PhD,
Nozomi Satani, MD, PhD,
Yuriko Kagaya, MD,
Tomoni Sato, MD, PhD,
Tomonori Matsuura, MD, PhD,
Teruyuki Sato, MD, PhD,
Naoya Noguchi, MD, PhD,
Nobuo Ohta, MD, PhD

Affiliations

Takayuki Yamada, MD, PhD: Department of Radiology, Tohoku Medical and Pharmaceutical University, Sendai, Japan; Corresponding author.
Satoru Yanagaki, MD, PhD: Department of Radiology, Tohoku Medical and Pharmaceutical University, Sendai, Japan
Nozomi Satani, MD, PhD: Department of Radiology, Tohoku Medical and Pharmaceutical University, Sendai, Japan
Yuriko Kagaya, MD: Department of Radiology, Tohoku Medical and Pharmaceutical University, Sendai, Japan
Tomoni Sato, MD, PhD: Department of Radiology, Tohoku Medical and Pharmaceutical University, Sendai, Japan
Tomonori Matsuura, MD, PhD: Department of Radiology, Tohoku Medical and Pharmaceutical University, Sendai, Japan
Teruyuki Sato, MD, PhD: Department of Otolaryngology, Tohoku Medical and Pharmaceutical University, Sendai, Japan
Naoya Noguchi, MD, PhD: Department of Otolaryngology, Tohoku Medical and Pharmaceutical University, Sendai, Japan
Nobuo Ohta, MD, PhD: Department of Otolaryngology, Tohoku Medical and Pharmaceutical University, Sendai, Japan

Journal volume & issue: Vol. 20, no. 2
pp. 1145 – 1149

Abstract

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A 62-year-old man was referred to our hospital presenting with a sore throat, dyspnea, and cervical swelling. Initial precontrast CT scans revealed a cervical and mediastinal hematoma, along with a hemothorax. Further dynamic contrast-enhanced CT scans indicated contrast media extravasation dorsal to the right thyroid gland lobe, suggesting a rupture of the right inferior thyroid artery or a parathyroid adenoma. Following endotracheal intubation, angiography confirmed extravasation from the right inferior thyroid artery. Transarterial embolization (TAE) was successfully performed using a gelatin sponge. The cervical and mediastinal hematoma were surgically excised, and the right inferior parathyroid gland was simultaneously resected. Pathological examination revealed no neoplastic components.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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