The occurrence of a cervical hematoma following a thyroidectomy is uncommon but can be life-threatening. It may present with a number of clinical findings.
The onset may be soon after surgery, or delayed up to 48 hours.
Local changes:
(1) neck pain
(2) feeling of pressure in the neck
(3) neck swelling with or without bruising
(4) wound drainage or oozing
Changes associated with compression:
(1) difficulty breathing, including respiratory distress
(2) painful or difficult swallowing
Other:
(1) agitation or distress
(2) sweating
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