CASE REPORT article
Front. Surg.
Sec. Otorhinolaryngology - Head and Neck Surgery
Volume 12 - 2025 | doi: 10.3389/fsurg.2025.1682888
LATE BLEEDING AFTER THYROID SURGERY: A CASE REPORT AFTER 8 DAYS AND LITERATURE REVIEW
Provisionally accepted
Marco Marcianò1*
Bianca Vicari1*
giuseppina orlando1giuseppina Melfa1Isabella Campo2
Giuseppe Salamone2Gregorio Scerrino1- 1University of Palermo, Palermo, Italy
- 2Universita degli Studi di Palermo, Palermo, Italy
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Postoperative hematoma is an uncommon but potentially life-threatening and unpredictable complication of thyroid surgery. We report a case of very late postoperative bleeding occurring on the 8th postoperative day in a patient undergoing right lobe thyroidectomy who had restarted antiplatelet therapy since the 1st post-operative day (POD). The patient was readmitted in emergency department with complaints of progressive anterior neck swelling and bleeding from the wound but without respiratory distress. Under general anesthesia, cervical reexploration allowed the detection of an hematoma situated in the right thyroid bed and subhyoid region and an active bleeding of the superior thyroid vascular pedicle. Although most bleeding occurs within 24 hours, caution should be taken in patients who are in need of antiplatelet therapy, and a close monitoring should also be advised at home after discharge.
Keywords: Hematoma, Thyroidectomy, complications, antiplatelet therapy, case, Report
Received: 09 Aug 2025; Accepted: 24 Sep 2025.
Copyright: © 2025 Marcianò, Vicari, orlando, Melfa, Campo, Salamone and Scerrino. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Marco Marcianò, mm.94@hotmail.it
Bianca Vicari, biancavicari99@gmail.com
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