Abstract
A 71-year-old woman presented with a life-threatening thyroid hemorrhage after US-guided chemical parathyroidectomy. The diagnosis was made by angiography followed by immediate embolization of a pseudoaneurysm of the left superior thyroid artery. Embolization controlled the hemorrhage, obviating the need for surgery. The patient made a full recovery with no evidence of further hemorrhage. Pseudoaneurysm of the superior thyroid artery is a rare cause of hemorrhage and percutaneous embolization is an effective method of treatment.
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Sharma AK, Agarwal P, Roy S, Gambhir S, Mishra SK, Phadke RV (1994) Interventional radiology in the management of superior thyroid artery injury which presents as a diagnostic dilemma. Australas Radiol 38:70–71
Solbiati L, Giangrande A, De Pra L, Belloti E, Cantù P, Ravetto C (1985) Percutaneous ethanol injection of parathyroid tumors under US guidance: Treatment for secondary hyperparathyroidism. Radiology 155:607–610
Fugazzola C, Bergamo Andreis I, Sobiati L (1995) Parathyroid glands. In: Solbiati L, Rizzatto G (eds) Ultrasound of Superficial Structures. Churchill Livingstone, London, pp 87–113
Bennedbaeck FN, Karstrup S, Hegedus L (1997) Percutaneous ethanol injection therapy in the treatment of thyroid and parathyroid diseases. Eur J Endocrinol 136:240–250
Page B, Zingraff J, Souberbielle J (1992) Correction of severe secondary hyperparathyroidism in dialysis patients: Surgical removal versus percutaneous ethanol injection. Am J Kidney Dis 19:378–381
Takeda S, Michigishi T, Takakura E (1992) Successful ultrasonically guided percutaneous ethanol injection for secondary hyperparathyroidism. Nephron 62:100–103
Henroteaux D, Kos X (1997) Embolization of a ruptured inferior thyroid artery aneurysm: A case report. (abstract) Cardiovasc Intervent Radiol 20[Suppl 1]:120
Fujimoto H, Yasuda S, Kashimada A, Sato D, Takebayashi S, Kunimoto M, Arimizu N (1992) Diagnosis of aneurysm of superior thyroid artery by CT and MR imaging. Acta Radiol 33:420–422
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Perona, F., Barile, A., Oliveri, M. et al. Superior thyroid artery lesion after US-Guided chemical parathyroidectomy: Angiographic diagnosis and treatment by embolization. Cardiovasc Intervent Radiol 22, 249–250 (1999). https://doi.org/10.1007/s002709900376
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DOI: https://doi.org/10.1007/s002709900376