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ECTOPIC LINGUAL THYROID PRESENTING WITH MASSIVE HEMATEMESIS.

G Koc1, I Taskaldiran1, S Aslan Felek2

  • 1Health Science University, Ankara Training and Research Hospital - Endocrinology and Metabolism, Ankara, Turkey.

Acta Endocrinologica (Bucharest, Romania : 2005)
|September 12, 2019
PubMed
Summary
This summary is machine-generated.

Ectopic lingual thyroid, a rare developmental issue, can cause symptoms like difficulty swallowing. This case highlights an unusual presentation of massive hematemesis in a patient with ectopic lingual thyroid.

Keywords:
ectopiclingual thyroidmassive hematemesis

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Area of Science:

  • Developmental biology
  • Endocrinology
  • Surgical pathology

Background:

  • Ectopic lingual thyroid is a rare congenital anomaly resulting from abnormal thyroid gland embryogenesis and migration.
  • Typically located at the base of the tongue, it arises from persistent remnants of the thyroglossal duct.

Observation:

  • Most ectopic lingual thyroid cases are asymptomatic.
  • Enlargement can lead to symptoms such as dysphagia, dyspnea, airway obstruction, and dysphonia.
  • This report details an extremely rare instance of ectopic lingual thyroid manifesting as massive hematemesis.

Findings:

  • The patient presented with significant upper gastrointestinal bleeding (hematemesis).
  • This presentation is highly unusual for ectopic lingual thyroid, which rarely causes bleeding complications.

Implications:

  • This case expands the spectrum of potential clinical manifestations of ectopic lingual thyroid.
  • Highlights the importance of considering ectopic lingual thyroid in the differential diagnosis of unexplained hematemesis, especially in the presence of other suggestive symptoms.
  • Underscores the need for thorough diagnostic evaluation in rare presentations of common embryological abnormalities.