A 53-year-old woman with hypoechoic nodule in the left lobe of the thyroid presented
to our outpatient clinic. She had no significant medical history or allergies. Cervical
ultrasonography of thyroid gland revealed an isoreflective nodule with cystic degeneration
(Fig. A). Fine needle aspiration biopsy (FNAB) of the nodule was performed using a 22-gauge
needle and a 10 ml disposable syringe with previous local anesthesia. Twenty minutes
after the procedure, she experienced neck pain and swelling. Additional Doppler ultrasonography
showed an acute 2-fold volume increase and a patchy hypoechoic separation in the entire
thyroid gland (Fig. B-C, yellow arrowheads). There were no clinical symptoms suggesting bleeding or airway
obstruction. Based on the clinical findings, we made a diagnosis of cracking thyroid
following FNAB. She was treated with conventional cooling, her neck pain and swelling
improved in 2 h without remission.
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References
- A thyroid thriller: acute transient and symmetric goiter after fine-needle aspiration of a solitary thyroid nodule.Thyroid. 2008; 18: 81-84
- Acute and transient thyroid swelling following fine-needle aspiration biopsy: its prevalence, clinical features, and ultrasonographic findings.AACE Clin Case Rep. 2018; 4: e139
- Acute transient thyroid swelling following needle biopsy: an update.Hormones. 2012; 11: 147-150
Article info
Publication history
Published online: September 25, 2022
Accepted:
September 20,
2022
Received:
January 7,
2022
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2022 Southern Society for Clinical Investigation. Published by Elsevier Inc. All rights reserved.
