Life threatening complication of fine needle aspiration of neck mass in a child: a case report

Authors

  • Pramod S. Department of Paediatric Surgery, Kempegowda Institute of Medical Sciences and Research Institute, Bangalore, Karnataka
  • Rewanth Reddy Department of Surgery, Kempegowda Institute of Medical Sciences and Research Institute, Bangalore, Karnataka

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20181888

Keywords:

Fine needle aspiration biopsy, Neck, Hematoma, Pain

Abstract

Fine needle aspiration biopsy has become an important first line of investigation in palpable neck masses. It is simple, sensitive, inexpensive and safe investigation. Minor complications include pain, rashes and irritation at the site of aspiration. Life threatening complication occurs rarely. This is a report of child who presented with internal carotid artery injury with a massive hematoma causing respiratory distress following Fine needle aspiration. The child underwent neck exploration with evacuation of hematoma. Though life threatening complications post Fine needle aspiration are rare, this case highlights the precautions to be taken while performing fine needle aspiration in deep seated neck mass. 

Author Biography

Pramod S., Department of Paediatric Surgery, Kempegowda Institute of Medical Sciences and Research Institute, Bangalore, Karnataka

Assistant Professor, department Of pediatric surgery

References

Kun MA. New instrument for the diagnosis of tumors. Month J Med Sci. 1847;7:853-4.

Polyzos SA, Anastasilakis AD. Clinical complications following thyroid fine-needle biopsy: a systematic review. Clin Endocrinol. 2009;71:157-65.

Anastasilakis AD, Polyzos SA, Nikolopoulos P. Subendothelial carotid hematoma after fine needle aspiration biopsy of a solitary thyroid nodule. J Ultrasound Med. 2008;27(10):1517-20.

Jereb B, Us-Krasovec M, Jereb M. Thin needle biopsy of solid tumors in children. Med PediatrOncol 1978;4:213-20.

Schaller Jr RT, Schaller JF, Buschman C, Kiviat N. the usefulness of percutaneous fine-needle aspiration biopsy in infants and children. J Pediatr Surg. 1983;18:398-405.

Ramadhan HH, Wax MK, Boyd CB. Fine- needle aspiration of head and neck masses in children. AM J Otolaryngol. 1997;18:400-4.

Howell LP. Changing role of fine needle aspiration in diagnosis of pediatric masses. Diagn Cytopathol 2001;24:65-70.

Wakely Jr PE, Kardos TF, Frable WJ. Application of fine needle aspiration biopsy to pediatrics. Hum Pathol. 1988;19:1383-6.

Tunkel DE, Baroody FM, Sherman ME. Fine-needle aspiration biopsy of cervicofacial masses in children. Arch Otolaryngol Head Neck Surg 1995;121:533-6.

Liu ES, Bernstein JM, Sculerati N, Wu HC. Fine needle aspiration biopsy of pediatric head and neck masses.Int J Pediatr Otorhinolaryngol. 2001;60:135-40.

Van De Schoot L, Aronson DC, Behrendt H, Bras J. The role of fine-needle aspiration cytology in children with persistent or suspicious lymphadenopathy. J Pediatr Surg. 2001;36:7-11.

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Published

2018-04-26

Issue

Section

Case Reports