Faculty, Staff and Student Publications

Publication Date

2-1-2025

Journal

Radiology Case Reports

DOI

10.1016/j.radcr.2024.11.014

PMID

39691758

PMCID

PMC11650203

PubMedCentral® Posted Date

11-30-2024

PubMedCentral® Full Text Version

Post-print

Abstract

A 62-year-old man was referred to our hospital presenting with a sore throat, dyspnea, and cervical swelling. Initial precontrast CT scans revealed a cervical and mediastinal hematoma, along with a hemothorax. Further dynamic contrast-enhanced CT scans indicated contrast media extravasation dorsal to the right thyroid gland lobe, suggesting a rupture of the right inferior thyroid artery or a parathyroid adenoma. Following endotracheal intubation, angiography confirmed extravasation from the right inferior thyroid artery. Transarterial embolization (TAE) was successfully performed using a gelatin sponge. The cervical and mediastinal hematoma were surgically excised, and the right inferior parathyroid gland was simultaneously resected. Pathological examination revealed no neoplastic components.

Keywords

Mediastinum, Neck, Rupture, Spontaneous hematoma, Thyroid artery

Published Open-Access

yes

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