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Ectopic thyroid nodular goiter presenting as a porta hepatis mass
M Jamshidi1, O Kasirye, D J Smith
1Department of Surgery, Western Reserve Care System, Youngstown, Ohio, USA.
The American Surgeon
|April 17, 1998
Summary
A rare case of ectopic thyroid goiter was discovered in a 58-year-old woman presenting with abdominal pain and gastrointestinal issues. Pathologic examination confirmed thyroid tissue in an unusual abdominal location.
Area of Science:
- Endocrinology
- Gastroenterology
- Pathology
Background:
- Ectopic thyroid tissue, particularly goiters, are rare developmental anomalies.
- Abdominal masses can present with diverse and non-specific symptoms.
Observation:
- A 58-year-old female presented with abdominal pain, low back pain, diarrhea, and weakness.
- Imaging revealed a significant mass extending from the duodenum to the porta hepatis.
Findings:
- Surgical resection and subsequent histopathological analysis confirmed the mass as ectopic thyroid tissue.
- The tissue exhibited nodular arrangement of thyroid follicles, colloid lakes, and hyperplastic goiter changes.
Implications:
- This case highlights the importance of considering ectopic thyroid tissue in the differential diagnosis of abdominal masses.
- Understanding the presentation and pathology of ectopic goiters is crucial for accurate diagnosis and management.