Syncope in a patient with spontaneous hemorrhage into a thyroid nodule
Künye
Sahin, S., Belice, T., Ogullar, S., Ayaz, T., Cure, E. (2014). Syncope in a patient with spontaneous hemorrhage into a thyroid nodule. Hippokratia, 18(2), 177–179.Özet
Background: Spontaneous hemorrhage into a thyroid nodule occurs exceedingly rare and rarely a neck hematoma can develop. We report a case of syncope due to spontaneous hemorrhage into a thyroid nodule during anticoagulant and antithrombotic therapy. Case presentation: A 64-year-old man was transferred to the emergency department of our hospital because of syncope. His physical examination revealed a 7 x 5 cm hard and painless mass at the left neck region. the neck MRI confirmed a heterogeneous, hyperintense mass in the left lobe of thyroid compressing the trachea and left common carotid artery, internal jugular vein, and vagus nerve bundle. He did not require a surgery in the follow-up. As the hematoma underwent subtotal shrinkage, he remained well without syncope. Conclusion: Hemorrhage into a thyroid nodule should always be considered in patients presenting with neurally mediated syncope.