A foreign body of the thyroid gland after a gunshot shrapnel wound to the neck. A clinical case

Abstract

Introduction. Foreign bodies in the thyroid gland due to a gunshot wound to the neck are quite rare and descriptions in the literature are presented by isolated clinical observations. In most cases, with penetrating wounds and injuries to the thyroid gland, surgical intervention is limited to hemostasis and, if necessary, hemi- or thyroidectomy. In the delayed period, under favorable conditions and the patient's desire, an individualized approach to surgical treatment is possible.
Clinical case. A 29-year-old patient was hospitalized in the Hospital for War Veterans No. 3 for treatment and rehabilitation, with the consequences of a combined multiple gunshot shrapnel wound to the neck, upper and lower limbs. During additional examination, the patient was confirmed to have a foreign body in the right lobe of the thyroid gland without dysfunction of the gland and involvement of the main vessels. Surgical treatment was performed in the volume of minimally invasive video-assisted organ-preserving removal of a foreign body with a good clinical effect.
Conclusion. The presented clinical observation demonstrates the possibilities of using minimally invasive video-assisted organ-preserving surgical technique in removing foreign bodies of the thyroid gland under favorable conditions - a delayed period, the absence of purulent-inflammatory complications, adequate topical diagnostics.