Chang Chia-Che, Chou Yi-Hong, Tiu Chui-Mei, Chiou Hong-Jen, Wang Hsin-Kai, Chiou See-Ying, Chen Siew-Peng, Chang Ming-Wei, Chang Chi-Houng, Hong Ting-Han
Department of Emergency Medicine, Lotung Poh-Ai Hospital, Lotung, Ilan, Taiwan.
J Clin Ultrasound. 2007 Nov-Dec;35(9):518-20. doi: 10.1002/jcu.20314.
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.
