Cervical and mediastinal hematoma from ruptured aneurysm of the inferior thyroid artery

Abstract

A 53-year-old woman complaining of worsening dyspnoea and enlarging swelling in the neck after cough and acute sudden pain at the base of the neck. Contrast enhanced CT scan showing large cervical and mediastinal hematoma with bilateral pleural effusion (Fig. 1). Angiography: ruptured aneurysm of left lower thyroid artery treated by embolization (Fig. 2). Contrast enhanced CT scan showing cervical hematoma, mediastinal hematoma and bilateral pleural effusion. Diagnostic angiogram showing a ruptured aneurysm of left inferior thyroid artery as the source of bleeding (white arrow) and angiogram after embolization (steel coils and gelfoam plug embolization) of the left inferior thyroid artery.