Abstract:

Thyroid gland hematomas are an emergency pathology that requires quick assessment and intervention because they cause acute respiratory failure. The degree of respiratory failure related to the pressure effect of the hematom can vary and is determining in the decision of intervention. After a hit in the neck, acute respiratory failure develops a 38-year-old unknown disease phenomenon, after physical examination and radiological examinations, the emergency diseases, ear nasal throat, general surgery and radiology specialists have been evaluated together. In the throat ultrasound (USG) the thyroid left lob is approximately 6*4 cm, the left carotis communis artery spread, the cystic components in the front line were observed with the heterogeneous eco-genital nodular image. Due to the history of trauma in the identified area and the previous absence of the patient's cystic nodular guatric history, the sonographic findings were first evaluated in favour of the hematom. The computer shoulder tomography was in the form of 'the hypodensus nodule of size 57*44 mm in the thyroid left lob is tracked and the trajectory is shifting to the right'. According to the degree of respiratory failure in thyroid hematomas; tracking and oxygen support, aspiration accompanied by USG, surgical intervention (hemitiroidectomy, total thyroidectomy, bleeding control), entubation and entubation are among the treatment options trakeotomy inferior. We presented our treatment approach with the aspiration method accompanied by ultrasound in the traumatic thyroid hematom that appears quite rare in this case.

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