Large substernal thyroid goiter associated with saddle pulmonary embolism

Daniel W. Nelson; Melissa LoPinto; Charif Sidani; John I. Lew

doi:10.5005/jp-journals-10002-1195

Large substernal thyroid goiter associated with saddle pulmonary embolism

Daniel W. Nelson, Melissa LoPinto, Charif Sidani, John I. Lew

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

A 75-year-old woman with a longstanding history of a substernal thyroid goiter presented with acute shortness of breath, and she was intubated due to respiratory distress. Computed tomography (CT) scan revealed a compressive substernal goiter with associated vascular compression, axillosubclavian thrombosis, and saddle pulmonary embolism. Weight-based heparin was immediately administered, and the patient subsequently underwent successful thyroidectomy via a cervical incision. This case report of a rare saddle pulmonary embolism associated with a substernal thyroid goiter underscores the importance of early elective thyroidectomy. Successful management of these potentially devastating pulmonary emboli (PE) associated with large substernal goiters is possible.

Original language	English (US)
Pages (from-to)	214-216
Number of pages	3
Journal	World Journal of Endocrine Surgery
Volume	8
Issue number	3
DOIs	https://doi.org/10.5005/jp-journals-10002-1195
State	Published - Sep 1 2016

Keywords

Cervical thyroidectomy
Saddle pulmonary embolism
Substernal goiter
Thromboemboilc disease

ASJC Scopus subject areas

Surgery
Endocrinology, Diabetes and Metabolism
Radiology Nuclear Medicine and imaging

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AU - Sidani, Charif

AU - Lew, John I.

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