Pregnancy-Related Recurrent Benign Goiter With Intratracheal Extension.
Mohamed Amine ChaabouniInes KharratWalha OmarAbbes AsmaSirine AyadiYasmine SghaierMoncef SellamiIlhem CharfeddinePublished in: Ear, nose, & throat journal (2024)
This report describes the unique case of a 37-year-old pregnant patient with a history of total thyroidectomy who presented worsening dyspnea due to a recurrent benign goiter. The goiter grew through the tracheal wall and narrowed the tracheal lumen. After unsuccessful treatment with bronchodilators and corticosteroids, the patient underwent an emergency tracheostomy and cesarean section. Cervicothoracic computed tomography revealed a 4 cm mass in the left lobe of the thyroid gland with endotracheal extension in the subglottic region. Exploratory cervicectomy revealed a macroscopically resected mass that resembles the structure of the thyroid, adherent to the esophagus, anterior to the cricoid cartilage, and the trachea. Intratracheal thyroid tissue was not excised due to the increased risk of bleeding, and endoscopically guided biopsies were performed. Histopathological examination confirmed the benign nature of the thyroid tissue. A follow-up computed tomography scan after 2 months showed spontaneous regression of the intratracheal mass, and the tracheostomy tube was successfully removed without complications.
Keyphrases
- computed tomography
- positron emission tomography
- case report
- magnetic resonance imaging
- emergency department
- public health
- dual energy
- single cell
- healthcare
- mechanical ventilation
- pregnant women
- atrial fibrillation
- lymph node
- risk factors
- magnetic resonance
- palliative care
- extracellular matrix
- extracorporeal membrane oxygenation
- acute respiratory distress syndrome
- preterm birth
- combination therapy
- smoking cessation