Spontaneous Intrathyroidal Hemorrhage—A Rare Potential Life-Threatening Condition

Thyroid nodules and cysts, while typically benign, can occasionally result in severe complications such as acute intrathyroidal hemorrhage, leading to hematoma formation and airway compromise. This report details the case of a 70-year-old female with a history of a multinodular goiter, presenting with sudden-onset dysphagia, dyspnea, and retrosternal pain. Imaging revealed significant tracheal compression due to a large hematoma caused by a ruptured thyroid cyst. Urgent surgical intervention, including left hemithyroidectomy and hematoma drainage, alleviated the airway obstruction. This case underscores the importance of early recognition and intervention in rare but potentially life-threatening thyroid complications. Further research is needed to elucidate the mechanisms of spontaneous intrathyroidal hemorrhage and improve management strategies.

Cite this article as: Selleslag S, Meulemans J, Hermans R, Devos J. Spontaneous intrathyroidal hemorrhage—a rare potential life-threatening condition. B-ENT. 2024;20(4):269-271.