细针抽吸后急性甲状腺肿：一种罕见并发症的病例报告及系统评价。
Acute thyroid swelling after fine needle aspiration-a case report of a rare complication and a systematic review.
机构信息
Department of Ultrasound, Shengjing Hospital of China Medical University, 36 Sanhao Street, Heping District, Liaoning, Shenyang city, China.
出版信息
BMC Surg. 2021 Mar 31;21(1):175. doi: 10.1186/s12893-021-01160-z.
BACKGROUND
Thyroid fine needle aspiration (FNA) is the procedure of choice in the management of thyroid nodules. Acute thyroid swelling after FNA is a rare complication and is reported in a finite number of literatures. To the best of our knowledge, only seven reported cases exist in literatures. This study describes an addition case with an acute thyroid swelling after FNA, as well as puts forward a new hypothesis of this phenomenon.
CASE PRESENTATION
The case is presented of a 30-year-old female with an acute thyroid swelling after FNA, with funicular hypoechoic lesions in thyroid gland. The size of thyroid was 1.5-fold enlarged in the unilateral thyroid gland. No complains of pain or other discomforts with her and no signs of hemorrhage were found along the passage of the fine needle. The episode was recovered spontaneously.
CONCLUSIONS
An acute thyroid swelling is a rare complication of FNA. A hypothesis of anaphylactic reaction was suggested in our study. Physicians should pay more attention of this phenomenon and more information is needed to support our hypothesis.
背景
甲状腺细针抽吸术（FNA）是甲状腺结节管理的首选方法。FNA 后出现急性甲状腺肿胀是一种罕见的并发症，在有限数量的文献中有报道。据我们所知，文献中仅报道了 7 例。本研究描述了 FNA 后出现急性甲状腺肿胀的另一个病例，并提出了这种现象的一个新假说。
病例介绍
本病例为一名 30 岁女性，FNA 后出现急性甲状腺肿胀，甲状腺内出现条索状低回声病变。单侧甲状腺肿大 1.5 倍。患者无疼痛或其他不适，沿细针路径未发现出血迹象。该发作自发恢复。
结论
急性甲状腺肿胀是 FNA 的罕见并发症。我们的研究提出了一种过敏反应的假说。医生应更加注意这种现象，需要更多信息来支持我们的假说。
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