Correia Sara, Ramalho Diogo, Rocha Gustavo, Oliveira Maria J
Endocrinology, Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia, PRT.
Endocrinology and Diabetes, Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia, PRT.
Cureus. 2022 Sep 28;14(9):e29710. doi: 10.7759/cureus.29710. eCollection 2022 Sep.
Fine-needle aspiration cytology (FNAC) is a safe and well-tolerated procedure with high sensitivity and specificity. Serious complications, such as large hematomas, are very rare and should be promptly identified. We present an unusual case of a 71-year-old woman with a massive cervical hematoma that developed near the thyroid capsule after the FNAC of a nodule. CT showed a hematoma measuring 38 x 34 mm, causing deviation of the laryngotracheal axis. The patient was admitted to the intensive care unit for intubation and surgical drainage. This case illustrates that FNAC, despite being considered a safe procedure with infrequent complications, carries the risk of acute life-threatening events that should be taken into account.
细针穿刺细胞学检查（FNAC）是一种安全且耐受性良好的检查方法，具有高敏感性和特异性。严重并发症，如巨大血肿，非常罕见，应及时识别。我们报告一例不寻常的病例，一名71岁女性在结节的FNAC检查后，甲状腺包膜附近出现巨大颈部血肿。CT显示血肿大小为38×34mm，导致喉气管轴偏移。患者被收入重症监护病房进行插管和手术引流。该病例表明，尽管FNAC被认为是一种安全、并发症少见的检查方法，但仍存在急性危及生命事件的风险，应予以考虑。
