A Rare Presentation of Thyroid Mass- A case report.

Area of Science:

• Medicine
• Endocrinology
• Pulmonology

Background:

• Respiratory symptoms are frequently observed in thyroid diseases.
• These symptoms can be misdiagnosed as asthma or COPD exacerbations.
• Thyroid conditions, including asymptomatic goiters, can present with acute airway obstruction.

Purpose of the Study:

• To report a case of recurrent airway obstruction caused by a cystic thyroid swelling.
• To emphasize the importance of considering thyroid pathology in patients with unexplained respiratory distress.
• To highlight the critical role of anesthetic management in patients with thyroid-related airway compromise.

Main Methods:

• A case report of a 58-year-old female with recurrent respiratory distress.
• Diagnostic workup including identification of a cystic thyroid swelling.
• Intervention involved immediate cyst aspiration followed by total thyroidectomy.

Main Results:

• The patient experienced recurrent episodes of shortness of breath requiring intubation.
• Diagnosis of cystic thyroid swelling was established.
• Symptomatic relief and cure were achieved after cyst aspiration and subsequent total thyroidectomy.

Conclusions:

• Acute airway obstruction can manifest in patients with asymptomatic goiters.
• Prompt diagnosis and intervention, including aspiration and surgery, are crucial for managing thyroid-related airway obstruction.
• Careful anesthetic management is vital for maintaining airway patency until definitive surgical treatment.