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Post-thyroidectomy hematoma : a rare but potentially fatal complication

Journal: Otolaryngology online journal (Vol.5, No. 35)

Publication Date:

Authors : ; ; ; ; ; ;

Page : 76-83

Keywords : thyroid hematoma; management of thyroid bleeding;

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Background/ objectives: Post-thyroidectomy hematoma is a rare but fatal complication of thyroidectomy. The incidence of hematoma has dropped to less than 2-3% due to better preoperative preparation & major refinements in surgical techniques. Setting: Department of ENT, Head & Neck Surgery, KVG Medical College, Sullia. Case report: We report a case of post- thyroidectomy hematoma in an elective surgery done for a large thyroid. The hematoma occurred 15 minutes after surgery & was managed success-fully under general anaesthesia. Intervention: Urgent evacuation of the hematoma was done under general anaesthesia & bleeders were re-ligated. 2 pints of A+ blood was transfused. Conclusion: Post-thyroidectomy hematoma leading to airway obstruction is a fatal complication which needs emergency management. Post-operative care include attention to the drain, careful monitoring in the recovery room & appreciation of subtle signs of respiratory distress. So every thyroidectomy case can bleed & cause hematoma complication. Prevention & early intervention can avoid fatal complications.

Last modified: 2015-10-14 23:18:15