Korean J Otorhinolaryngol-Head Neck Surg.  2009 Jul;52(7):616-619. 10.3342/kjorl-hns.2009.52.7.616.

A Case of Huge Substernal Goiter Causing Acute Respiratory Failure

• Shin HA
• Hong SP
• Sohn IK
• Kim CH

• KMID: 2074144
• DOI: http://doi.org/10.3342/kjorl-hns.2009.52.7.616

Abstract

Substernal goiter is defined as a thyroid mass of which more than half is located below the thoracic inlet. As substernal goiter enlarges within the bony thoracic cavity, and vascular and visceral structures may slowly become compressed and compromised. Airway obstruction can occur due to the compression or the displacement of the trachea. Tracheal compression may rarely lead to severe respiratory compromise. Recently, we experienced a case of huge substernal goiter causing acute respiratory failure in a 63-year old female. We present this case with a review of the literature.

Keyword

Substernal goiter; Respiratory failure

MeSH Terms

Airway Obstruction
Bays
Displacement (Psychology)
Female
Goiter, Substernal
Humans
Respiratory Insufficiency
Thoracic Cavity
Thyroid Gland
Trachea