Post- thyroidectomy haematoma causing severe supraglottic oedema and pulmonary oedema - a case report

Large, long standing goiters present multiple challenges to anaesthesiologist. Post thyroidectomy haematoma is a rare but life threatening complication of thyroid surgery leading to airway obstruction. We report a case of huge goiter that underwent near total thyroidectomy and developed post thyroid...

Full description

Saved in:
Bibliographic Details
Published in:Journal of clinical and diagnostic research 2014-08, Vol.8 (8), p.GD01-GD02
Main Authors: Parate, Leena Harshad, Pujari, Vinayak Seenappa, Anandaswamy, Tejesh C, Vig, Saurabh
Format: Article
Language:English
Subjects:
Anaesthesia Section
complications
haemorrhage
thyroidectomy
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Large, long standing goiters present multiple challenges to anaesthesiologist. Post thyroidectomy haematoma is a rare but life threatening complication of thyroid surgery leading to airway obstruction. We report a case of huge goiter that underwent near total thyroidectomy and developed post thyroidectomy haematoma. Within no time it resulted in near fatal airway obstruction, pulmonary oedema and cardiac arrest. The haematoma was evacuated immediately and patient was resuscitated successfully. Pulmonary oedema was further worsened by subsequent aggressive fluid resuscitation. She was electively ventilated with PEEP and was extubated after five days. Except for right vocal cord palsy her postoperative stay was uneventful. This is unique case where a post thyoidectomy haematoma has resulted in fatal supraglottic oedema and pulmonary oedema. Early recognition, immediate intubation and evacuation of haematoma are the key to manage this complication. We highlight on the pathophysiology of haematoma and discuss the strategies to prevent similar events in future.
ISSN:2249-782X
0973-709X
DOI:10.7860/JCDR/2014/9012.4745