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Review
. 2022 Mar 31:41:265.
doi: 10.11604/pamj.2022.41.265.30516. eCollection 2022.

[Emergency management of a giant compressive goitre: a case report]

[Article in French]
Anajar Said  1 , Coulibaly Konimba  1 , Tahiri Ilias  1 , Taali Loubna  1 , Hajjij Amal  1 , Saadi Mustapha  1 , Ouraini Salwa  2 , Jahidi Ali  2 , Zalakh Mohammed  2 , Benariba Fouad  2
Affiliations
Review

[Emergency management of a giant compressive goitre: a case report]

[Article in French]
Anajar Said et al. Pan Afr Med J. .

Abstract
in English, French

Compressive goitre is a public health emergency due to the risk of asphyxia caused by compression of bronchial tree. We report the case of a 48-year-old female patient presenting to the emergency department with laryngeal dyspnea due to compressive goitre. We conducted a study and a literature review focusing on the clinical and radiological features of compressive goitre and different treatment options. The management of a patient with compressive goitre is difficult and must be rapid, due to the high risk of asphyxia. It requires a multidisciplinary approach of an experienced surgical team, including ENT and thoracic surgeons.

Le goitre plongeant compressif est une urgence au traitement du fait du risque d´asphyxie par compression de l´arbre respiratoire. Nous rapportons le cas d´une patiente de 48 ans qui s´est présentée aux urgences avec une dyspnée laryngée sur un goitre plongeant et compressif, à travers notre observation et une revue de la littérature nous allons mettre le point sur les caractéristiques cliniques, l'aspect radiologique, et les différentes options du traitement. La gestion d´un patient qui présente un goitre compressif est difficile et doit être rapide car le risque d´asphyxie est majeur, la prise en charge est multidisciplinaire par une équipe opératoire expérimentée incluant les réanimateurs l´Otho-rhino-laringologie (ORL) et les chirurgiens thoraciques.

Keywords: Compressive goitre; case report; dyspnea; thyroidectomy.

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Conflict of interest statement

Les auteurs ne déclarent aucun conflit d´intérêts.

Figures

Figure 1
Figure 1
image scannographique du goitre compressif, la flèche montre la compression laryngée
Figure 2
Figure 2
image peropératoire du goitre plongeant
See this image and copyright information in PMC

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