Department of Surgery, Faculty of Medicine, University of Malaya, Kuala Lumpur 50603, Malaysia.
Am J Emerg Med. 2013 Apr;31(4):760.e3-5. doi: 10.1016/j.ajem.2012.12.005. Epub 2013 Feb 8.
Rupture of the thyroid gland is uncommon in cases of blunt neck trauma. We report a case of thyroid rupture after a motor vehicle accident in a patient without a preexisting goiter. He presented with a painful anterior neck swelling associated with dysphagia and hoarseness of voice. Computed tomographic scans showed lacerations of the right thyroid lobe and isthmus with features suggestive of slow active bleeding. Neck exploration was subsequently performed, and a ruptured right thyroid lobe was found with ongoing venous hemorrhage. A right hemithyroidectomy was performed, and the patient recovered without complications.
甲状腺破裂在钝性颈部创伤中并不常见。我们报告了一例机动车事故后甲状腺破裂的病例，该患者无甲状腺肿既往史。他表现为疼痛性前颈部肿胀，伴有吞咽困难和声音嘶哑。计算机断层扫描显示右甲状腺叶和峡部有裂伤，特征提示为缓慢活跃性出血。随后进行了颈部探查，发现右甲状腺叶破裂并有静脉出血。行右甲状腺次全切除术，患者无并发症恢复。
