Publique en esta revista
Información de la revista
Vol. 53. Núm. 9.Septiembre 2017
Páginas 471-534
Compartir
Compartir
Descargar PDF
Más opciones de artículo
Vol. 53. Núm. 9.Septiembre 2017
Páginas 471-534
Clinical Image
DOI: 10.1016/j.arbres.2017.02.018
Massive Retrosternal Goitre With Critical Tracheal Narrowing
Bocio retroesternal masivo con estrechamiento traqueal crítico
Visitas
547
Marta Sousa
Autor para correspondencia
martadias.sousa@gmail.com

Corresponding author.
, Manuela Fernandes, Bárbara Rodrigues
Centro Hospitalar Tondela-Viseu, Viseu, Portugal
Este artículo ha recibido
547
Visitas
Información del artículo
Texto Completo
Bibliografía
Descargar PDF
Estadísticas
Texto Completo

A 75 year-old man was referred to pulmonology for persistent episodes of dyspnoea, productive cough and wheezing lasting 5 years. He was treated with mucolytics, bronchodilators and corticosteroids, with no significant clinical improvement. On physical examination, bilateral wheezing with prolonged expiration were noted on pulmonary auscultation. A chest radiograph revealed an enlargement of the superior mediastinum with right deviation of the trachea (Fig. 1, Panel A, arrow). A chest computed tomography scan showed a multinodular diving goitre (Panel B, arrow), with compression and critical narrowing of tracheal lumen (Panel C, arrow). The patient underwent total thyroidectomy (Panel D, arrow). After surgery, complete resolution of respiratory symptoms was observed, with no tracheal sequelae. This case highlights the importance of including extrinsic airway compression in the differential diagnosis of persistent episodes of wheezing, as described in the literature.1 It is also interesting to note that respiratory symptoms usually resolve after surgery, and there is less risk of post-thyroidectomy tracheomalacia than previously thought.2

Fig. 1.
(0,25MB).

(A) Chest radiograph revealing an enlargement of the superior mediastinum with right deviation of the trachea, (B) Chest computed tomography scan showing a multinodular diving goitre, with compression and critical narrowing of the trachea (C). (D) Total thyroidectomy – resected goitre.

References
[1]
M.C. 1Mokoka,K. Ullah,D.R. Curran,T.M. O’Connor
Rare causes of persistent wheeze that mimic poorly controlled asthma
BMJ Case Rep, (2013), pp. 2013
[2]
J.M. Findlay,G.P. Sadler,H. Bridge,R. Mihai
Post-thyroidectomy tracheomalacia: minimal risk despite significant tracheal compression
Br J Anaesth, 106 (2011), pp. 903-906 http://dx.doi.org/10.1093/bja/aer062
Copyright © 2017. SEPAR
Idiomas
Archivos de Bronconeumología

Suscríbase al Newsletter

Opciones de artículo
Herramientas
Política de cookies
Utilizamos cookies propias y de terceros para mejorar nuestros servicios y mostrarle publicidad relacionada con sus preferencias mediante el análisis de sus hábitos de navegación. Si continua navegando, consideramos que acepta su uso. Puede cambiar la configuración u obtener más información aquí.

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?