Thyroid gland laceration secondary to trauma

Case contributed by Steve Lau
Diagnosis certain

Presentation

Post motor vehicle accident with dysphagia, globus and left neck swelling.

Patient Data

Age: 55 years
Gender: Female

Angiogram (Neck)

ct
This study is a stack
Axial C+
arterial phase
This study is a stack
Coronal C+
arterial phase
Download
Info

CTA neck demonstrates a transection of the left superior pole of the thyroid gland with no evidence of active bleeding of the left superior thyroid artery.

There is a hematoma in the left pretrachael space extending to superior mediastinum with mass effect on trachea and esophagus causing both to deviate to the right.

Case Discussion

Thyroid gland injury is rare, especially in the setting of blunt trauma. 

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