Department of Public Health and Paediatrics, Section of Legal Medicine, University of Turin, Corso Galileo Galilei 22, 10126, Turin, Italy.
Forensic Sci Med Pathol. 2024 Sep;20(3):983-989. doi: 10.1007/s12024-023-00688-1. Epub 2023 Aug 9.
Traumatic hemorrhage of the thyroid gland resulting from blunt injury to the neck is a very rare event. Particular neck positions can expose the thyroid to trauma, especially in motor vehicle collisions, falls, direct blows, or sport activities. Preexisting conditions such as goiters, adenomas, and cysts can increase the risk of bleeding, reducing the force required to rupture the gland and make the thyroid more prone to injury. The authors report the case of a 53-year-old man who was involved in a fire while working on maintenance of a liquid petroleum gas (LPG)-powered car. He subsequently presented to the emergency department with painful swelling of his right anterior neck with a palpable mass. CT scan showed a right thyroid hemorrhagic cyst. The worker reported that he had jumped into the car trunk to extinguish the fire and covered the gas tank nozzle with his own body to prevent dispersal of the accelerant. In this case, the medico-legal evaluation was useful to delineate between natural and traumatic causes of the injury. Medico-legal assessment is key in understanding the dynamics involved in work-related events to identify any legal responsibilities of the worker or the employer.
颈部钝器伤导致的甲状腺创伤性出血是一种非常罕见的事件。特定的颈部姿势会使甲状腺容易受到创伤，尤其是在机动车碰撞、摔倒、直接打击或运动活动中。甲状腺肿、腺瘤和囊肿等先前存在的疾病会增加出血的风险，从而降低使腺体破裂所需的力，并使甲状腺更容易受伤。作者报告了一例 53 岁男性的病例，该男性在维修液化石油气 (LPG) 动力汽车时发生火灾。随后，他因右侧颈前疼痛性肿胀和可触及的肿块而到急诊就诊。CT 扫描显示右侧甲状腺出血性囊肿。该工人报告说，他曾跳入汽车后备箱灭火，并将自己的身体覆盖在油箱喷嘴上，以防止助燃剂扩散。在这种情况下，法医学评估有助于区分损伤的自然和创伤原因。法医学评估对于理解与工作相关事件中的动力学至关重要，以确定工人或雇主的任何法律责任。
