A Case of Pseudoaneurysm of the Superior Thyroid Artery after Core Needle Biopsy

Mi Sun Chun; So Jeong Lee; Han Su Kim; Soo Yeon Jung

doi:10.11106/ijt.2017.10.2.114

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Chun, Lee, Kim, and Jung: A Case of Pseudoaneurysm of the Superior Thyroid Artery after Core Needle Biopsy

Case Report

International Journal of Thyroidology 2017; 10(2): 114-117.

Published online: 29 November 2017

DOI: https://doi.org/10.11106/ijt.2017.10.2.114

A Case of Pseudoaneurysm of the Superior Thyroid Artery after Core Needle Biopsy

Mi Sun Chun, So Jeong Lee, Han Su Kim, Soo Yeon Jung

Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Ewha Womans University, Seoul, Korea.

Correspondence: Soo Yeon Jung, MD, PhD, Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Ewha Womans University, 1071 Anyangcheon-ro, Yangcheon-gu, Seoul 07985, Korea. Tel: 82-2-2650-5156, Fax: 82-2-2648-5604, paransooyeon@hanmail.net

Received 25 August 2017 Revised 3 October 2017 Accepted 17 October 2017

The Korean Thyroid Association

(open-access):

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A pseudoaneurysm is a collection of blood that locates between the two outer layers of an artery, the muscularis propria and the adventitia. It is resulted from disruption of a portion of the arterial wall. A pseudoaneurysm can be caused by trauma, blood vessel intervention, intravenous drug use, vasculitis, infectious aneurysm, and postoperative anastomotic leakage. The pseudoaneurysm of superior thyroid artery after core needle biopsy is rare. We report a case of pseudoaneurysm caused by thyroid core needle biopsy and treated by surgical treatment.

Keywords: Pseudoaneurysm, Core needle biopsy, Superior thyroid artery

Figures and Tables

Fig. 1

The radiologic finding of the pseudoaneurysm (computed tomography). (A, B) The neck computed tomography of the left thyroid gland shows 2×2×3.2 cm sized large hematoma with abnormal vascular pooling in the left thyroid gland (arrows) (axial and coronal view). (C, D) Pseudoaneurysm (arrowhead) arises from the superior thyroidal artery (arrow) (sagittal view).

Fig. 2

The radiologic finding of the pseudoaneurysm (ultrasonography). (A) Ultrasonographic finding demonstrates heterogeneous echogenic swirling mass (2.3×1.9 cm) in the left thyroid gland. (B) Color Doppler identifies that the vascular flow in the pseudoaneurysm is originated from the superior thyroid artery (arrow) through the pseudoaneurysm neck (between the arrowheads). (C) Pseudoaneurysm with typical ‘to-and-fro’ color Doppler flow signal in the left lobe of thyroid gland.

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