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Management of a Compressive Goiter at Term

DOI: 10.4236/ojog.2021.113030, PP. 303-308

Keywords: Compressive Goiter Mother, Obstructed Airway, Pregnancy, Thyroidectomy

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Abstract:

Pregnant women sometimes have thyroid disease, and thus goiter; however, it does not become so large to the extent that the goiter obstructs the air way, causing respiratory symptoms. Here, we report such a case. A 27-year-old woman with large goiter presented with life threatening stridor at 37 weeks. After a multidisciplinary-team discussion, we performed caesarean section plus thyroidectomy, which resulted in good outcomes. Histological examination revealed hyperplasia and not malignancy. The postoperative course was uneventful. The mother and infant were healthy.

References

[1]  Glinoer, D. (1999) What Happens to the Normal Thyroid during Pregnancy? Thyroid, 9, 631-635.
https://doi.org/10.1089/thy.1999.9.631
[2]  White, M.L., Doherty, G.M. and Gauger, P.G. (2008) Evidence-Based Surgical Management of Substernal Goiter. World Journal of Surgery, 32, 1285-1300.
https://doi.org/10.1007/s00268-008-9466-3
[3]  Thomas, C.M., Mattingly, J.K., Hendrickse, A. and Song, J.I. (2017) Case Report of a Massive Retropharyngeal Goiter Resulting in Laryngeal Compression. A & A Case Reports, 9, 178-181.
https://doi.org/10.1213/XAA.0000000000000560
[4]  Bahn, R.S. and Castro, M.R. (2011) Approach to the Patient with Nontoxic Multinodular Goiter. The Journal of Clinical Endocrinology & Metabolism, 96, 1202-1212.
https://doi.org/10.1210/jc.2010-2583
[5]  Cunning, F.G., Leveno, K.J., Bloom, S.L., Spong, C.Y., et al. (2014) Williams Obstetrics. 24th Edition, Thyroid Disorders, Chapter 58, McGraw-Hill Education/Medical, New York, 2167-2187.
[6]  Stagnaro-Green, A., Abalovich, M., Alexander, E., et al. (2011) Guidelines of the American Thyroid Association for the Diagnosis and Management of Thyroid Disease during Pregnancy and Postpartum. Thyroid, 21, 1081-1125.
https://doi.org/10.1089/thy.2011.0087
[7]  Ruan, D. and Moalem, J. (2009) Thyroid Gland Pregnancy—A Risk Factor for Thyroid Surgery Complications. Nature Reviews Endocrinology, 5, 589-590.
https://doi.org/10.1038/nrendo.2009.211
[8]  Kuy, S.R., Roman, S.A., Desai, R. and Sosa, J.A. (2009) Outcomes Following Thyroid and Parathyroid Surgery in Pregnant Women. Archives of Surgery, 144, 399-406.
https://doi.org/10.1001/archsurg.2009.48
[9]  El Jaouhari, S.D., Doghmi, N., Najout, H., et al. (2019) Acute Respiratory Failure Secondary to a Cervical Goitre in a Pregnant Woman: A Case Report. BMC Emergency Medicine, 19, 18.
https://doi.org/10.1186/s12873-019-0231-8
[10]  Ridal, M., Abbasi, H., Aissaoui, F. and Alami, M.N. (2015) La priseen charge d’un goiter compressif chez une femme enceinte [Management of a Compressive Goiter in a Pregnant Woman]. Tunisie Medicale, 93, 187-189.
[11]  Al-Shammari, L., Jemmett, K., Wikner, M. and Usman, N. (2015) Management of a Parturient with a Retrosternal Goitre and Tracheal Compression. International Journal of Obstetric Anesthesia, 24, 201-202.
https://doi.org/10.1016/j.ijoa.2015.02.004

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