PMID: 18186382Jan 12, 2008Paper

Thyroid storm induced by blunt thyroid gland trauma

The American Surgeon
Stylianos Delikoukos, Fotios Mantzos

Abstract

Isolated thyroid gland injury due to blunt neck trauma is uncommon and rarely complicated by thyroid storm in patients without known hyperthyroidism. The aim of this study was to report our experience on blunt thyroid gland injury followed by massive gland hemorrhage, acute airway obstruction, and symptoms of thyroid storm. Among 231 patients with neck trauma, four patients appeared with isolated thyroid gland injury. In two of them, the diagnosis of simultaneous thyrotoxic crisis was made on the basis of clinical findings and confirmed on emergency laboratory tests. The diagnosis of thyroid gland injury was supposed by the history and physical examination and established after neck exploration. Therapy was directed at stabilizing the patients by correcting the hyperthyroid state, followed by operative treatment. Left lobectomy and total thyroidectomy were performed and, along with postoperative medical measures, led to uneventful recovery. This study demonstrates that thyroid gland injury due to blunt neck trauma, although uncommon, may result in potentially life-threatening thyroid storm due to rupture of acini and liberation of thyroid hormones into the bloodstream. This may occur in patients without known hyperthyroidism.

References

Nov 1, 1987·Annals of Emergency Medicine·R L Behrends, R B Low
Aug 1, 1969·The British Journal of Surgery·R H Grace, J S Shilling
Aug 19, 1999·The American Journal of Emergency Medicine·M BlaivasJ G Younger

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Citations

Jun 19, 2018·The Annals of Otology, Rhinology, and Laryngology·Rajini K Yatavelli, Steven N Levine
Sep 10, 2013·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Jagriti Upadhyay, Nitin Trivedi
May 1, 2021·Case Reports in Endocrinology·Michelle RomijnMartijn J J Finken
May 21, 2011·Updates in Surgery·Gianluca Donatini

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