E-ISSN 2146-8133
 

Case Report 


Superior vena cava syndrome caused by a benign intrathoracic goiter

Yilmaz Polat, Hasan Baki̇ Altinsoy, Hi̇lal Trkben Polat, Burhan Hakan Kanat, Seli̇m Szen, Mehmet Burak Dal.

Abstract
Intrathoracic goiters are defined as the extension of the thyroid gland into the mediastinum. Superior Vena Cava (SVC) syndrome due to the compression of major vessels can be seen in these patients. Most cases of SVC syndrome occur as a complication of malignancy. A 75-year-old female, non-smoker, was admitted with complaints of the midline neck swell- ing for the past 45 years, mild puffiness of face, breathlessness on lying down and dry cough for last 5 years. On clinical examination, there was a massive grade IV thyromegaly. Neck computed tomography revealed a heterogeneous, hyper- trophic, nodular thyroid gland with multiple calcification and mediastinal extension with narrowed trachea. Intraoperatively, there was a huge retrosternal thyroid gland compression of the right brachiocephalic vein, the brachiocephalic trunk from behind the vessel and the right carotid artery along with the right internal jugular vein. Pathological examination showed a nodular colloid goitre without signs of malignancy. When SVC syndrome is secondary to benign thyroid disease, total thyroidectomy should be performed.

Key words: Vena cava superior syndrome, goiter, thyroidectomy


 
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Pubmed Style

# YPHBa, # AHa, , Dal mSMB. Superior vena cava syndrome caused by a benign intrathoracic goiter. Arch Clin Exp Surg. 2016; 5(4): 242-245. doi:10.5455/aces.20150508103342


Web Style

# YPHBa, # AHa, , Dal mSMB. Superior vena cava syndrome caused by a benign intrathoracic goiter. http://www.ejmaces.com/?mno=174943 [Access: May 27, 2018]. doi:10.5455/aces.20150508103342


AMA (American Medical Association) Style

# YPHBa, # AHa, , Dal mSMB. Superior vena cava syndrome caused by a benign intrathoracic goiter. Arch Clin Exp Surg. 2016; 5(4): 242-245. doi:10.5455/aces.20150508103342



Vancouver/ICMJE Style

# YPHBa, # AHa, , Dal mSMB. Superior vena cava syndrome caused by a benign intrathoracic goiter. Arch Clin Exp Surg. (2016), [cited May 27, 2018]; 5(4): 242-245. doi:10.5455/aces.20150508103342



Harvard Style

#, Y. P. H. B. a., #, A. H. a., & Dal, m. S. M. B. (2016) Superior vena cava syndrome caused by a benign intrathoracic goiter. Arch Clin Exp Surg, 5 (4), 242-245. doi:10.5455/aces.20150508103342



Turabian Style

#, Yilmaz Polat, Hasan Baki and, Altinsoy, Hi and #, lal Turkben Polat, Burhan Hakan Kanat, Seli and #, and m Sozen, Mehmet Burak Dal. 2016. Superior vena cava syndrome caused by a benign intrathoracic goiter. Archives of Clinical and Experimental Surgery (ACES), 5 (4), 242-245. doi:10.5455/aces.20150508103342



Chicago Style

#, Yilmaz Polat, Hasan Baki and, Altinsoy, Hi and #, lal Turkben Polat, Burhan Hakan Kanat, Seli and #, and m Sozen, Mehmet Burak Dal. "Superior vena cava syndrome caused by a benign intrathoracic goiter." Archives of Clinical and Experimental Surgery (ACES) 5 (2016), 242-245. doi:10.5455/aces.20150508103342



MLA (The Modern Language Association) Style

#, Yilmaz Polat, Hasan Baki and, Altinsoy, Hi and #, lal Turkben Polat, Burhan Hakan Kanat, Seli and #, and m Sozen, Mehmet Burak Dal. "Superior vena cava syndrome caused by a benign intrathoracic goiter." Archives of Clinical and Experimental Surgery (ACES) 5.4 (2016), 242-245. Print. doi:10.5455/aces.20150508103342



APA (American Psychological Association) Style

#, Y. P. H. B. a., #, A. H. a., & Dal, m. S. M. B. (2016) Superior vena cava syndrome caused by a benign intrathoracic goiter. Archives of Clinical and Experimental Surgery (ACES), 5 (4), 242-245. doi:10.5455/aces.20150508103342





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