Sb Sahin1, T Belice2, S Ogullar3, T Ayaz2, E Cure2. 1. > Department of Endocrinology and Metabolism Disease, Recep Tayyip Erdogan University Medical School, Rize, Turkey. 2. Department of Internal Medicine, Recep Tayyip Erdogan University Medical School, Rize, Turkey. 3. Department of Radiology, Recep Tayyip Erdogan University Medical School, Rize, Turkey.
Abstract
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.
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.