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[Diagnostic image (50) Positive Pemberton's sign]
1Academisch Ziekenhuis, afd. Endocrinologie, Postbus 30.001, 9700 RB Groningen. m.n.kerstens@int.azg.nl
Nederlands Tijdschrift Voor Geneeskunde
|August 30, 2001
Summary
A progressive goitre caused breathing difficulties and venous congestion, diagnosed by Pemberton's sign. Surgical removal of the thyroid gland completely resolved these symptoms.
Area of Science:
- Endocrinology
- Thoracic Surgery
Background:
- Euthyroid goitres can progressively enlarge, potentially causing compressive symptoms.
- Pemberton's sign is a clinical indicator of thoracic inlet obstruction.
Observation:
- A 32-year-old woman presented with a progressive, non-toxic goitre and significant dyspnoea.
- Positive Pemberton's sign was noted, characterized by inspiratory stridor and venous congestion upon bilateral arm elevation.
Findings:
- The patient underwent a total thyroidectomy.
- Post-operative resolution of dyspnoea, inspiratory stridor, and venous congestion was observed.
Implications:
- Total thyroidectomy is an effective treatment for symptomatic euthyroid goitres causing thoracic inlet compression.
- Pemberton's sign is a valuable diagnostic clue for identifying obstructive goitres requiring surgical intervention.