Chan C C, Awobem A, Binns C, Jassar P
Department of Ear, Nose and Throat, Castle Hill Hospital, Cottingham, UK.
J Laryngol Otol. 2012 Sep;126(9):960-2. doi: 10.1017/S0022215112001430. Epub 2012 Jul 5.
We report a case of hypopharyngeal swelling secondary to a spontaneous thyroid cyst haemorrhage. Haemorrhage is a known complication of thyroid cysts, and usually presents as external swelling and localised pain.
A 93-year-old woman developed hypopharyngeal swelling, dysphagia and odynophagia. A computed tomography scan was consistent with thyroid cyst haemorrhage. The patient was treated with needle aspiration and intravenous steroid injections, with full recovery at thyroid clinic review.
To our best knowledge, there has been no previous report of a hypopharyngeal swelling occurring secondary to spontaneous thyroid cyst haemorrhage. Our case is unusual because of the risk of airway compromise at the level of the hypopharynx, secondary to thyroid cyst haemorrhage.
我们报告一例因自发性甲状腺囊肿出血继发下咽肿胀的病例。出血是甲状腺囊肿已知的并发症，通常表现为外部肿胀和局部疼痛。
一名93岁女性出现下咽肿胀、吞咽困难和吞咽痛。计算机断层扫描结果与甲状腺囊肿出血相符。患者接受了针吸治疗和静脉注射类固醇，在甲状腺门诊复查时完全康复。
据我们所知，此前尚无自发性甲状腺囊肿出血继发下咽肿胀的报告。我们的病例不同寻常，因为甲状腺囊肿出血继发下咽水平气道受压的风险。
