胸骨后甲状腺肿并发乳糜胸经颈前路甲状腺切除术治疗。
Chylothorax associated with substernal goiter treated with transcervical thyroidectomy.
机构信息
Division of Otolaryngology-Head and Neck Surgery, University of Utah Health Sciences Center, Salt Lake City, Utah 84132, USA.
出版信息
Thyroid. 2011 May;21(5):551-3. doi: 10.1089/thy.2010.0405. Epub 2011 Apr 10.
BACKGROUND
Substernal goiters are frequently associated with compressive symptoms. Compression of the trachea and esophagus are common, whereas thoracic duct compression is a rare occurrence.
METHODS
We report a rare case of a 72-year-old woman with thoracic duct compression by a large substernal goiter that presented with shortness of breath. After undergoing thoracentesis multiple times, the patient was treated with thyroidectomy.
RESULTS
Transcervical thyroidectomy was performed without sternotomy. This led to resolution of her symptoms. Confirmation of chylothorax resolution was obtained with postoperative computed tomography of the chest.
CONCLUSION
Chylothorax is a rare sequela of substernal goiters. It can be managed with thyroidectomy. Sternotomy was avoided in this case.
背景
胸骨后甲状腺肿常伴有压迫症状。气管和食管受压很常见，而胸导管受压则较为罕见。
方法
我们报告了一例罕见的 72 岁女性病例，其巨大胸骨后甲状腺肿压迫胸导管，导致呼吸困难。在多次进行胸腔穿刺后，患者接受了甲状腺切除术。
结果
经颈甲状腺切除术，无需胸骨切开术。这导致她的症状得到缓解。术后胸部计算机断层扫描证实乳糜胸得到解决。
结论
乳糜胸是胸骨后甲状腺肿的罕见后遗症。它可以通过甲状腺切除术来治疗。在这种情况下避免了胸骨切开术。
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