{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T14:12:53Z","timestamp":1784297573807,"version":"3.55.0"},"reference-count":16,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2023,3,31]],"date-time":"2023-03-31T00:00:00Z","timestamp":1680220800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Ultrasound-guided fine needle aspiration is an easy, safe, and efficient method of diagnosing thyroid diseases. Recent guidelines and studies have demonstrated that this test has a low incidence of complications; thus, most guidelines do not provide recommendations for post-exam care. However, the risk of serious and fatal bleeding in selected patients with bleeding tendency exists. Although screening tests for coagulation are not always necessary, a thorough assessment of past medical history needs to be made to identify disorders affecting coagulation function and bleeding risk factors, such as the use of antithrombotic drugs. This is a case report of a 70-year-old female patient who continued to take edoxaban and suffered bilateral thyroid hematoma a few hours after ultrasound-guided thyroid fine needle aspiration. The patient successfully recovered after undergoing conservative treatment.<\/jats:p>","DOI":"10.3390\/medicina59040690","type":"journal-article","created":{"date-parts":[[2023,3,31]],"date-time":"2023-03-31T03:02:01Z","timestamp":1680231721000},"page":"690","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["A Case of Diffuse Thyroid Hematoma after Ultrasound-Guided Fine Needle Aspiration"],"prefix":"10.3390","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6754-1114","authenticated-orcid":false,"given":"Jong Gyu","family":"Lee","sequence":"first","affiliation":[{"name":"Departments of Otorhinolaryngology-Head and Neck Surgery, Inje University Sanggye Paik Hospital, Seoul 01757, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Young-Soo","family":"Chang","sequence":"additional","affiliation":[{"name":"Departments of Otorhinolaryngology-Head and Neck Surgery, Inje University Sanggye Paik Hospital, Seoul 01757, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6240-1465","authenticated-orcid":false,"given":"Bo Young","family":"Kim","sequence":"additional","affiliation":[{"name":"Departments of Otorhinolaryngology-Head and Neck Surgery, Inje University Sanggye Paik Hospital, Seoul 01757, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,3,31]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"4177","DOI":"10.1007\/s00330-021-08524-2","article-title":"Prediction of hemorrhagic complications after ultrasound-guided biopsy of the thyroid and neck","volume":"32","author":"Lee","year":"2022","journal-title":"Eur. Radiol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"391","DOI":"10.3348\/kjr.2015.16.2.391","article-title":"Ultrasound-guided fine needle aspiration of thyroid nodules: A consensus statement by the Korean Society of Thyroid Radiology","volume":"16","author":"Lee","year":"2015","journal-title":"Korean J. Radiol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1159\/000325089","article-title":"Anterior neck hematoma causing airway compression following fine needle aspiration cytology of the thyroid nodule: A case report","volume":"53","author":"Park","year":"2009","journal-title":"Acta Cytol."},{"key":"ref_4","first-page":"54","article-title":"Two cases of unilateral thyroid hematoma inducing airway distress after fine needle aspiration biopsy","volume":"23","author":"Byun","year":"2007","journal-title":"Korean J. 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