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Isolated thyroid hematoma after blunt neck trauma presented with aphonia

Affiliation:	1. Department of General Surgery, Prince Hashem Bin Abdullah II, Jordan;2. Department of Anesthesia and Intensive Care, King Husain Medical Center, Jordan;1. Associate Professor (Microbiology), SHKM Government Medical College, Mewat, Haryana, India;2. Professor & Head, Department of Microbiology, Armed Forces Medical College, Pune 411040, India;3. Dean, Armed Forces Medical College, Pune 411040, India;4. Professor of Medicine & Rheumatology, Department of General Hospital, Sree Balaji Medical College & Hospital, Chennai, India;5. Director General Medical Services (Air), O/o DGMS (Air), IHQ, Air Headquarter, RK Puram, New Delhi 110066, India;1. Classified Specialist (Marine Medicine), Integrated Headquarters of MOD (Navy), Sena Bhawan, New Delhi, India;2. Graded Specialist (Surgery), INHS Kalyani, Vishakhapatnam, Andhra Pradesh, India;3. Graded Specialist (Anaesthesiology), INHS Jeevanti, Goa, India;4. Classified Specialist (Marine Medicine) & PMO, INS Satavahana, Vishakhapatnam, Andhra Pradesh, India;1. Graded Specialist (Community Medicine), Officer Commanding, Station Health Organization, Jalandhar Cantt, India;2. Lecturer in Statistics and Demography, Department of Community Medicine, Armed Forces Medical College, Pune 411040, India;3. Scientist ‘F’, Department of Community Medicine, Armed Forces Medical College, Pune 411040, India;4. Director, Armed Forces Medical Services (Health), O/o DGAFMS, Ministry of Defence, New Delhi, India;1. MG (Med), Delhi Area, C/o 56 APO, India;2. Associate Professor, Hamdard Institute of Medical Sciences & Research, New Delhi, India;3. Addl Director, Critical Care, Park Hospital, Gurgaon, India;4. Graded Specialist (Anaesthesia), 179 Military Hospital, C/o 99 APO, India;1. Junior Resident, Department of Ophthalmology, Armed Forces Medical College, Pune 411040, India;2. Professor & HoD, Dept of Ophthalmology, Armed Forces Medical College, Pune 411040, India;3. Senior Consultant (Ophthalmology), Apollo Gleneagles Hospital, Kolkata, India;4. Senior Resident, Department of Ophthalmology, Armed Forces Medical College, Pune 411040, India;1. Senior Advisor (Medicine & Oncology), INHS Asvini, Mumbai, India;2. Classified Specialist (Pathology & Oncopathology), INHS Asvini, Mumbai, India;3. Classified Specialist (Pulmonary Medicine), INHS Asvini, Mumbai, India

Abstract:	Isolated thyroid rupture and hematoma are rare following blunt neck injury and can lead to airway compromise and the need for emergency management. We report a 23-year-old male patient who presented with neck swelling and aphonia following a road traffic accident. Contrast-enhanced CT scan showed laceration and hematoma involving left thyroid lobe. The patient underwent left hemithyroidectomy and accomplished complete recovery. A high index of suspicion for thyroid rupture must be maintained when patients presented with voice changes or respiratory distress.

Keywords:	Thyroid rupture Neck injuries Aphonia Hematoma
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