Unexpected Complication of a Multinodular Goitre
  • Paulien van Hauten
    Department of Internal Medicine, Rijnstate Hospital Arnhem, Arnhem
  • Gysele Bleumink
    Department of Endocrinology, Rijnstate Hospital Arnhem, Arnhem
  • Marcel Hovens
    Department of Vascular Medicine, Rijnstate Hospital Arnhem, Arnhem
  • Ton Rijnders
    Department of Nuclear Medicine, Rijnstate Hospital Arnhem, Arnhem
  • Ruth Ekhart
    Department of Endocrinology, Rijnstate Hospital Arnhem, Arnhem

Keywords

Hyperthyroidism, multinodular goitre, venous thromboembolism

Abstract

Multinodular goitre is the most common thyroid gland disorder. It can cause hyperthyroidism and mechanical complaints such as tracheal compression or dysphagia. We report a unique case of a patient with a toxic multinodular goitre presenting with a deep venous thrombosis of the left arm due to direct local compression of blood flow.

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References

  • Lønnebakken MT, Pedersen OM, Andersen KS, Verhaug JE. Incidental detection of internal jugular vein thrombosis secondary to undiagnosed benign substernal goiter. Case Rep Med 2010;645193.
  • Kleinjan A, Di Nisio M, Beyer-Westendorf J, Camporese G, Cosmi B, Ghirarduzzi A, et al. Safety and feasibility of a diagnostic algorithm combining clinical probability, D-dimer testing, and ultrasonography for suspected upper extremity deep venous thrombosis. Ann Intern Med 2014;160:451–457.
  • Hauer Santos G, Ghalili K. Axillosubclavian vein thrombosis produced by retrosternal thyroid. Chest 1990;98:1281–1283.
  • Khan AM, Khan S. Retrosternal thyroid mass resulting in axillosubclavian vein thrombosis. BMJ Case Rep 2014 Feb 5;2014. pii: bcr2013202450. doi: 10.1136/bcr-2013-202450 (accessed 4 Jan 2016).
  • Kootte RS, Stuijver DJF, Dekkers OM, van Zaane B, Fliers E, Cannegieter SC, et al. The incidence of venous thromboembolism in patients with overt hyperthyroidism. Thromb Haemost 2012;107:417–422.
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    Published: 2016-02-18
    Issue: Vol. 3 No. 2 (view)


    How to cite:
    1.
    Hauten P van, Bleumink G, Hovens M, Rijnders T, Ekhart R. Unexpected Complication of a Multinodular Goitre. EJCRIM 2016;3 doi:10.12890/2016_000363.