Torrential bleed from lingual thyroid: an unusual cause of IUD

Ameya Bihani, Yogesh Dokhe, Priyanka Hardikar, Jyoti Dabholkar

Abstract


Lingual thyroid is rare anomaly which results from failure of descent of thyroid gland to normal position in neck. The common mode of presentation is foreign body sensation, dyspnoea, dysphagia or rarely haemrrhage. Acute severe haemorrhage causes hypotensive shock which may lead to intra-uterine foetal distress or foetal death. We hereby present, a case of 22 year old primigravida who presented with massive oral haemorrhage secondary to hypertrophied lingual thyroid. Patient was successfully managed conservatively with oral thyroxine. 


Keywords


Lingual thyroid, Superior thyroid artery, Thyroxine, IUD

Full Text:

PDF

References


Marina J, Sajic S. Lingual thyroid. Srp Arh Celok Lek. 2007 Mar-Apr;135:201-3.

Sauk JJ. Ectopic lingual thyroid. J Pathol. 1970;102:239-43.

Kutlu R. Kalcioglu T, Baysal T, Sigirci A. Lingual thyroid: a case report. J Radiol. 2002;222:296.

Postlethwait RW, Detmer DE. Ectopic thyroid nodule in the esophagus. Ann Thorac Surg. 1975;19:98-100.

Bilgen C, Kirazlı T, Kesimli H, Yavuzer A. Transhyoid approach for lingual thyroid: a case report. KBB İhtisas Dergisi. 2001;8(3):238-41.

Hickman W. Congenital tumour of the base of the tongue, pressing down the epiglottis on the larynx and causing the death by suffocation sixteen hours after birth. Trans Pathol Soc Lond. 1869;20:160-3.

Banna M, Lasjaunias P. The arteries of the lingual thyroid: angiographic findings and anatomic variations. AJNR Am J Neuroradiol. 1990;11(4):730-2.

Lania G, Zhang Z, Huynh T, Caprio C, Moon AM, Vitelli F, et al. Early thyroid development requires a Tbx1-Fgf8 pathway. Dev Biol. 2009 Apr;328(1):109-17.

Alt B, Elsalini OA, Schrumpf P, Haufs N, Lawson ND, Schwabe GC, et al. Arteries define the position of the thyroid gland during its developmental relocalisation. Development. 2006 Oct;133(19):3797-804.