# Bilateral superior and inferior thyroid artery embolization for massive thyroidectomy site bleeding: A case report

## TL;DR

A patient with severe bleeding after thyroid surgery was successfully treated with artery embolization when surgery failed.

## Contribution

This case report highlights the rare use of bilateral thyroid artery embolization for post-thyroidectomy bleeding.

## Key findings

- Bilateral embolization of thyroid arteries using micro-coils successfully controlled massive post-thyroidectomy bleeding.
- Surgical attempts at hemostasis were unsuccessful before embolization was performed.
- Embolization is a viable option for persistent or recurrent bleeding in the thyroid bed.

## Abstract

Thyroidectomy is a well-described procedure involving partial or total excision of the thyroid gland. It can be associated with some worrisome and dangerous postoperative complications, including postoperative hematoma. Embolization of the thyroid arteries is of great benefit in cases of persistent or recurrent bleeding in the thyroid bed, but is very rarely described in the setting of a post-operative hematoma. We describe a rare case of a patient admitted for a massive thyroidectomy site bleeding who underwent bilateral embolization of superior and inferior thyroid arteries using micro-coils, after unsuccessful surgical attempts at hemostasis.