711 Atypical Presentation of a Ruptured Thyroid Cyst

Abstract Introduction Thyroid cysts are a common finding with the bulk of cases being benign and approximately only 5% malignant. The majority these managed conservatively in absence malignancy or compressive symptoms. Case presentation A middle-aged female patient presented sudden onset anterior neck bruising but minimal specific symptomatology. On examination, had around chest wall. CT MRI scanning revealed was attributed to ruptured thyroid cyst. follow up, an ultrasound guided fine-needle aspirate histology be inflammatory follicular tissue. D iscussion case demonstrated rare presentation, given lack trauma her history nor presence more sinister conditions as by aspirate. Normally hemorrhage due abnormal vasculature. There few previous reports similar presentations where led life-threatening airway compromise requiring intubation. Early recognition cyst complications is crucial. Conclusion Neck wall hematoma can sign rupture/hemorrhage. It important recognize this prevent compromise.