Thoracic inlet compression due to amiodarone induced goitre.
نویسندگان
چکیده
We report a case of amiodarone induced toxic goitre, presenting with thoracic inlet obstruction which required surgical intervention. Though thyrotoxicosis caused by amiodarone is recognised, to our knowledge thoracic inlet compression has not been previously described.
منابع مشابه
Acute Presentation of Massive Retrosternal Thyrotoxic Goitres*
Approximately 5% of goitres extend below the thoracic inlet and can potentially become life threatening due to compression of the airway and major vessels. Approximately 7% of these goitres which require surgical resection will need an additional sternotomy to deliver the intra-thoracic component. Massive retrosternal toxic goitres presenting acutely are rare and are described infrequently in l...
متن کاملIntra-Thoracic Goitre with Life Threatening Complications: A Continuing Diagnostic Problem
thoracic goitre is very rare. Lahey in 1945 defined intra-thoracic goitre as those in which the greatest diameter of the intra-thoracic mass is below the upper aperture of the thoracic cage, and in which spontaneous reduction into the neck does not occur. Hoffman (1955) considered the incidence of true intra-thoracic goitre to be in the order of 0.2-3% of patients with thyroid enlargement. If w...
متن کاملExtraction of substernal goitre using an innovative vacuum device.
The extraction by cervicotomy of substernal goitres may be impossible and sometimes requires the enlargement of the thoracic inlet with at least a sternal-split. We present the extraction of a posterior mediastinal substernal goitre with the application of an innovative vacuum-based suction device, previously used for the control of bleeding from the heart and great vessels in clinical and expe...
متن کاملThe management of thoracic inlet syndrome associated with Hurler's syndrome: a novel surgical technique.
A 21-year-old male developed significant swelling of his tongue after a respiratory arrest. The patient had a history of Hurler's syndrome. Magnetic resonance imaging (MRI) angiogram delineated that the swelling was due to compression of his internal jugular veins at the level of the first rib, resulting in thoracic inlet obstruction. The standard surgical treatment of thoracic inlet obstructio...
متن کاملManagement of intrathoracic goitre.
an intrathoracic goitre is a thyroid gland with more than 50% of its mass located below the thoracic inlet. This term can be further classified as an “incomplete” or a “complete” intrathoracic goitre. When the goitre is “incomplete,” a major portion of the goitre on the neck is visible, with its lower pole being substernal, subclavicular or intrathoracic. Conversely, a “complete” or “true” intr...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Postgraduate medical journal
دوره 61 713 شماره
صفحات -
تاریخ انتشار 1985