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Journal of Radiological Review 2020 January-February;7(1):45-53

DOI: 10.23736/S2723-9284.20.00250-8

Copyright © 2020 EDIZIONI MINERVA MEDICA

language: English, Italian

Traumatic rupture of the normal thyroid in polytraumatized patient

Donato MASTRANTUONO , Rita G. SPINELLI, Federica ARABIA, Alda BORRÈ

Unit of Radiology, C.T.O. Department of Diagnostic Imaging and Radiotherapy, CTO Hospital, Città della Salute e della Scienza, Turin, Italy


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The neck is a complex anatomical region including important structures of vascular, respiratory, digestive, neurological, musculoskeletal and endocrine systems. Therefore, both blunt and penetrating traumas on this region can have devastating consequences for the patient. Due to their greater frequency and their neurological consequences, the traumatic lesions of the musculoskeletal compartment, in particular of the cervical spine, neurologic and vascular structures, have always attracted the attention of radiologists and clinicians in general. Despite the understandable attention given to these structures, the traumatic visceral lesions of the neck, especially that with a greater kinetic entity, can cause serious complications in the immediate or in the long term if not diagnosed and quickly treated; that said, such injuries can be easily overlooked by both radiologists and clinicians. Among the cervical visceral structures, the traumatic rupture of the thyroid gland is not a common event. However, it can represent a potential emergency or even urgency condition, due to hemorrhage and consequent hematoma compression on the surrounding structures. Severe tracheal compression, associated with dyspnea, may require emergency maneuvers such as intubation and / or surgical evacuation of the hematoma, suture of damaged arterial vessels up to hemi-thyroidectomy. We report, in this article, the case of a 50-year-old male subject transported to the Emergency Department of our hospital after a road accident, motorcycle against car, in induced sedation and laryngeal mask.


KEY WORDS: Thyroid gland; Injuries; Hemorrhage

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