A case of thyroid hemorrhage following laryngeal mask airway (LMA) intubation is described. A 42-year-old female presented to the emergency department (ED) with left neck pain after same day surgery with LMA intubation and was found to have a thyroid hemorrhage on imaging. The patient was ultimately discharged in stable condition with no acute interventions performed in the ED or by otorhinolaryngology (ENT). Airway implications and possible interventions based on isolated case reports are reviewed and discussed.TopicsThyroid hemorrhage, LMA complications.