Acute diffuse thyroid swelling: A rare complication of fine-needle aspiration

J Clin Ultrasound. 2017 Sep;45(7):426-429. doi: 10.1002/jcu.22432. Epub 2017 Feb 21.

Abstract

We present a case illustrating the rare complication of acute generalized thyroid swelling shortly after sonographic-guided fine needle aspiration of a thyroid nodule. Ultrasound revealed the presence of characteristic linear hypoechoic avascular areas interspersed throughout the gland suggestive of edema. The patient was treated conservatively, with near complete normalization of the thyroid within 24 hours. Recognition of this potential complication is important, as the rapid onset of diffuse thyroid enlargement is often alarming but typically has a transient and self-limiting course. © 2017 Wiley Periodicals, Inc. J Clin Ultrasound 45:426-429, 2017.

Keywords: complications; fine needle aspiration; thyroid; ultrasound.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Aged
  • Biopsy, Fine-Needle / adverse effects
  • Edema / diagnostic imaging*
  • Edema / etiology*
  • Female
  • Humans
  • Thyroid Gland / diagnostic imaging*
  • Thyroid Gland / pathology*
  • Ultrasonography / methods*