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Clinics and Practice
Volume 7
Issue 1
10.4081/cp.2017.932
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Clinics and Practice is published by MDPI from Volume 11 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Case Report

Spontaneous Thyroid Hemorrhage on Chronic Anticoagulation Therapy

by
Kulothungan Gunasekaran
1,2,*,
Kelly M. Rudd
3,
Swetha Murthi
4,
Scott Kaatz
2 and
Nazir Lone
1
1
Department of Internal Medicine, Bassett Medical Center, Cooperstown, NY, USA
2
Division of Hospital Medicine, Henry Ford Hospital, 2799 W. Grand Blvd, Detroit, MI 48202, USA
3
Department of Pharmaceutical Care Services, Section of Clinical Pharmacy, Bassett Medical Center, Cooperstown, NY, USA
4
Department of Internal Medicine, Sinai Grace Hospital, Detroit, MI, USA
*
Author to whom correspondence should be addressed.
Clin. Pract. 2017, 7(1), 932; https://doi.org/10.4081/cp.2017.932
Submission received: 14 December 2016 / Revised: 14 December 2016 / Accepted: 25 January 2017 / Published: 6 February 2017

Abstract

Even though highly vascularized, the thyroid gland rarely has spontaneous bleeding. Bleeding into the thyroid gland can result in potentially lethal acute airway compromise. This case report describes an elderly patient on warfarin for atrial fibrillation, who presented with swelling on the right side of her neck causing acute airway obstruction. An urgent computed tomography of the neck showed an enlarging hemorrhage into the right lobe of the thyroid gland. She was initially intubated for airway protection and her anticoagulation was reversed to stop the bleeding. She was closely monitored in the intensive care unit. After an uncomplicated tracheal extubation and recovery, she was discharged and scheduled for an elective total thyroidectomy. We desire that physicians be aware of this rare, potentially lethal bleeding complication.
Keywords: thyroid gland; hemorrhage; anticoagulation thyroid gland; hemorrhage; anticoagulation

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MDPI and ACS Style

Gunasekaran, K.; Rudd, K.M.; Murthi, S.; Kaatz, S.; Lone, N. Spontaneous Thyroid Hemorrhage on Chronic Anticoagulation Therapy. Clin. Pract. 2017, 7, 932. https://doi.org/10.4081/cp.2017.932

AMA Style

Gunasekaran K, Rudd KM, Murthi S, Kaatz S, Lone N. Spontaneous Thyroid Hemorrhage on Chronic Anticoagulation Therapy. Clinics and Practice. 2017; 7(1):932. https://doi.org/10.4081/cp.2017.932

Chicago/Turabian Style

Gunasekaran, Kulothungan, Kelly M. Rudd, Swetha Murthi, Scott Kaatz, and Nazir Lone. 2017. "Spontaneous Thyroid Hemorrhage on Chronic Anticoagulation Therapy" Clinics and Practice 7, no. 1: 932. https://doi.org/10.4081/cp.2017.932

APA Style

Gunasekaran, K., Rudd, K. M., Murthi, S., Kaatz, S., & Lone, N. (2017). Spontaneous Thyroid Hemorrhage on Chronic Anticoagulation Therapy. Clinics and Practice, 7(1), 932. https://doi.org/10.4081/cp.2017.932

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