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 | |
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