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Valsalva Maneuver후 발생한 자발성 상갑상동맥 파열 1예

A Case of Spontaneous Rupture of the Superior Thyroid Artery after Valsalva Maneuver

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주제분류이비인후과학

초록

Spontaneous arterial rupture in the neck resulting in cervical hemorrhage and hematoma is rare and may progress to life-threatening conditions. We describe a case of 59 year old man who visited the emergency department, presenting with acute right neck swelling after repetitive Valsalva maneuver. Computed tomography scans revealed a hematoma in the right upper neck and a leakage of the contrast media at the first branch of the external carotid artery which is the superior thyroid artery. Although the patient developed cervical hemorrhage and hematoma, but spontaneously subsided with no intervention in 4days. Here we report, with a literature review, this extremely rare case of spontaneous superior thyroid artery rupture.

Abstract

Spontaneous arterial rupture in the neck resulting in cervical hemorrhage and hematoma is rare and may progress to life-threatening conditions. We describe a case of 59 year old man who visited the emergency department, presenting with acute right neck swelling after repetitive Valsalva maneuver. Computed tomography scans revealed a hematoma in the right upper neck and a leakage of the contrast media at the first branch of the external carotid artery which is the superior thyroid artery. Although the patient developed cervical hemorrhage and hematoma, but spontaneously subsided with no intervention in 4days. Here we report, with a literature review, this extremely rare case of spontaneous superior thyroid artery rupture.

참고문헌 (12)

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  7. Garrett HE Jr, "Ruptured aneurysm of the inferior thyroid artery: repair with coil embolization", J Vasc Surg, 42, pp.1226~1229 (2005)
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  10. Hoetzenecker K, "Spontaneous rupture of the inferior thyroid artery resulting in mediastinal hematoma", Interact Cardiovasc Thorac Surg, 11(2), pp.209~210 (2010)
  11. Palatini P, "Blood pressure changes during heavyresistance exercise", J Hypertens Suppl, 7, pp.S72~S73 (1989)
  12. Carlson AP, "Large cerebellar hemorrhage during trumpet playing: importance of blood pressure elevation during the Valsalva maneuver: case report", Neurosurg, 62, pp.E1377~ (2008)

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