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Updated: Apr 18, 2026

Minimal Invasive Resection of Large Retrosternal Thyroid Goiter
Published on: September 20, 2024
Esophageal fistula complicating thyroid lobectomy.
Nicholas D Ward1, Cortney Y Lee2, James T Lee3
1Graduate Medical Education, General Surgery Residency Program, University of Kentucky, Lexington, KY, USA.
Thyroidectomy is generally safe, but rare esophageal perforations can occur. This report details the first documented case of esophageal perforation and subsequent fistulization after thyroid surgery in English literature.
Area of Science:
- Otolaryngology
- Gastroenterology
- Surgical Complications
Background:
- Thyroidectomy is a common surgical procedure with a well-established safety profile.
- While generally low, complications can arise, necessitating thorough reporting and analysis.
- Esophageal injury is an exceedingly rare complication of thyroidectomy.
Observation:
- This case report details an unusual complication following thyroidectomy.
- Esophageal perforation occurred post-thyroidectomy, leading to the development of a fistula.
- This represents a unique event in the surgical literature.
Findings:
- Esophageal perforation following thyroidectomy is a rare but significant complication.
- The development of a subsequent esophageal fistula is even rarer.
- This case is the first reported instance in the English-speaking medical literature.
Implications:
- Highlights the importance of vigilance for rare esophageal injuries during thyroidectomy.
- Suggests the need for prompt diagnosis and management of such perforations.
- Contributes to the understanding of potential severe complications after thyroid surgery.
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