A Rare Case of Fatal Thyroid Hemorrhage After Fine-Needle Aspiration
| العنوان: | A Rare Case of Fatal Thyroid Hemorrhage After Fine-Needle Aspiration |
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| المؤلفون: | Alessandro, Bonsignore, Martina, Drommi, Francesca, Frigiolini, Anna, Roncallo, Francesco, Ventura, Francesca, Buffelli, Ezio, Fulcheri |
| المصدر: | American Journal of Forensic Medicine & Pathology. 43:291-295 |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health), 2022. |
| سنة النشر: | 2022 |
| مصطلحات موضوعية: | Death, Sudden, Biopsy, Fine-Needle, Humans, Female, Hemorrhage, Thyroid Neoplasms, Thyroid Nodule, Aged, Pathology and Forensic Medicine |
| الوصف: | Sudden death due to massive hemorrhage after a mini-invasive ambulatory diagnostic procedure is extremely rare. Fine-needle aspiration (FNA) of thyroid nodules is very safe, displaying a low rate of complications, all of which mild and often self-limiting. In few cases do these complications necessitate surgical decompression, and rarely does FNA of a thyroid nodule lead to the death of the patient.We report a case of sudden death caused by respiratory insufficiency after compression of the vascular and nervous structures of the neck and obstruction of the upper airways by hemorrhages dissecting the thyroidal and perithyroidal tissues in a 78-year-old woman. These hemorrhages were the result of vascular lacerations caused during diagnostic FNA of a nodule suspected of malignancy. In such cases, it is important to conduct a complete autopsy and histological analysis to ascertain the origin of massive hemorrhage involving the structures of the neck and to attribute the cause of death to the aforementioned procedure. The forensic pathologist must bear in mind that even extremely small damage, such as that produced by a fine needle, may cause a fatal hemorrhage in subjects with a subverted anatomo-pathological picture (such as, for example, the massive fibrosis of an organ). |
| تدمد: | 1533-404X 0195-7910 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f9388ff02d9344f8727f9d2b86e691d7Test https://doi.org/10.1097/paf.0000000000000761Test |
| رقم الانضمام: | edsair.doi.dedup.....f9388ff02d9344f8727f9d2b86e691d7 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 1533404X 01957910 |
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