Department of Radiology, University Hospital Olomouc; Department of Radiology, Faculty of Medicine and Dentistry, Palacky University ; Olomouc, Czech Republic.
Thyroid. 2013 Oct;23(10):1326-8. doi: 10.1089/thy.2012.0536. Epub 2013 Jun 13.
Fine-needle biopsy of the thyroid gland is the most common interventional procedure used to diagnose thyroid diseases. Serious complications are rare in this procedure. They comprise an infection with abscess formation and hemorrhage. To date, only a few case reports have described an ultrasound diagnosis of active bleeding into the thyroid gland. We established such a diagnosis using computed tomography (CT).
A 74-year-old woman presented to the emergency department of our hospital with complications after fine-needle biopsy of the thyroid gland. Ultrasound revealed a large hematoma surrounding the gland. A subsequent CT scan confirmed the presence of hematoma and, moreover, showed active bleeding. This finding prompted rapid surgical intervention.
CT has the capability to show active bleeding into the thyroid gland.
甲状腺细针活检是诊断甲状腺疾病最常用的介入程序。该程序很少出现严重并发症，包括感染伴脓肿形成和出血。迄今为止，只有少数病例报告描述了超声诊断甲状腺内活动性出血。我们使用计算机断层扫描（CT）进行了这样的诊断。
一名 74 岁女性因甲状腺细针活检后出现并发症而到我院急诊科就诊。超声显示腺体周围有一个大血肿。随后的 CT 扫描证实了血肿的存在，并且显示出活动性出血。这一发现促使我们迅速进行手术干预。
CT 能够显示甲状腺内的活动性出血。
