1/5. Transudative right pleural effusion due to compression of the brachiocephalic vein caused by an intrathoracic goitre.The case presented in this report is of a female patient who suffered recurrent transudative right pleural effusions, due to a giant benign intrathoracic goitre. The latter caused compression of the brachiocephalic vein, which is a very rare cause of pleural fluid accumulation. magnetic resonance imaging played a crucial diagnostic role.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
2/5. life-threatening giant mediastinal goiter: a surgical challenge.Mediastinal goiter is a well known benign disease, usually resectable through a cervical approach with minimal morbidity and mortality. Only occasionally a median sternotomy or a lateral thoracotomy may be required. The present case is worthy of presentation because of the exceptional dimension of the disease and the surgical challenge that it presented. In a 72-year-old woman a large intrathoracic goiter of the right thorax caused a severe dyspnoea due to an important contralateral mediastinal shift with compression of the lung, superior vena cava system and trachea. At surgical exploration, through a cervico-sternotomic approach, the mediastinal structures dislocation and the strong adherences between the anomalous neovascularized capsula of the mass and the surrounding structures, complicated the surgical dissection. An accidental lesion of the innominate artery required its reimplantation on the ascending aorta. An immense mass, was finally removed and pathological examination revealed a rare case of neovascularized, pseudosarcomatoid capsula among a benign hyperplastic proliferation. In spite of its benign nature, a giant goiter caused a life-threatening compression of the respiratory tract and lung parenchyma in this patient. The dimension of the lesions, the mediastinal anatomy alterations and the severe intraoperative haemorrhage represented major technical difficulties during surgical resection.- - - - - - - - - - ranking = 5keywords = giant (Clic here for more details about this article) |
3/5. A giant retrosternal goiter with severe tracheal compression and superior vena cava syndrome: an operative experience.The peculiarities in the operation of a giant retrosternal goiter with severe tracheal compression and superior vena cava syndrome are highlighted in this report of a 53 year-old female with a large anterior neck swelling interfering with normal breathing and swallowing. From the initiation of the neck incision, mobilization of the gland and performing the subtotal excisions there was troublesome bleeding. pneumothorax resulting after delivery of the massive retrosternal portion was managed with an underwater-seal drainage tube.- - - - - - - - - - ranking = 5keywords = giant (Clic here for more details about this article) |
4/5. Negative-pressure pulmonary edema after resection of mediastinum thyroid goiter.Negative-pressure pulmonary edema (NPPE) is an uncommon but life-threatening complication of acute or chronic upper airway obstruction; however, there are few reports of NPPE after giant goiter resection. We report a case with severe NPPE induced by the resection of a mediastinum thyroid goiter. The patient was successfully treated by non-invasive positive airway ventilation (NPPV).- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
5/5. Axillosubclavian vein thrombosis produced by retrosternal thyroid.Several causes of axillosubclavian vein thrombosis have been described. Trauma to the subclavian vein by pacemaker wires or central venous lines as well as the so-called effort thrombosis have been recognized as frequently diagnosed precipitating factors. A patient is herein presented with thrombosis of the subclavian vein caused by a giant substernal thyroid compressing the innominate vein.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |