Abstract

The larynx, thyroid gland and cervical trachea are located in the anterior cervix. Thus isolated thyroid injury is rarely reported. We report a 75-year-old woman who was brought to our emergency room (ER) with dyspnea and cervical swelling after a fall. Fiberscopic examination identified partial occlusion of the trachea. Computed tomography (CT) scan of the neck showed a crushed left thyroid gland and massive hematoma extending from the paratracheal region to mediastinum. Therefore emergency intubation from her nose was performed using a flexible endoscope. The patient underwent tracheotomy. The hematoma disappeared on the 21st hospital day, and she recovered without complications. The patient was doing well at the twenty-month follow-up.

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