A CASE OF THYROID ADENOMA WITH SEVERE DYSPNEA:FEASABILITY OF ECMO FOR SURGERY
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A case of thyroid adenoma with severe dyspnea, who underwent emergency operation with the use of ECMO, is reported. A 58-year-old woman complained of rapid enlargement of goiter, cough and severe dyspnea with orthopnea, and was admitted as an emergency. X-ray of the neck revealed shift and stenosis of the trachea. Anaplastic carcinoma of the thyroid was suspected, but no definitive diagnosis was made. As intratracheal intubation was thought to be dangerous, ECMO was applied by percutaneous cannulation into the bilateral femoral veins in the sitting position under local anesthesia. Right hemithyroidectomy was performed in the supine position. The resected tumor was 7.2×6.0×5.1cm (140g) with a hematomatous appearance. The historgical diagnosis was microfollicular adenoma of the thyroid associated with massive hematoma. Dyspnea disappeared completely in the immediate postoperative period. ECMO support might be feasible for thyroid surgery in which of intratracheal intubation is impossible.
- 北関東医学会の論文
北関東医学会 | 論文
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