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Makarov I.V.

Samara State Medical University

Pismenny I.V.

Clinical Hospital «Russian Railways Medicine»

Karpova D.O.

Samara State Medical University

Romanov R.M.

Samara State Medical University;
Clinical Hospital «Russian Railways Medicine»

Fadeicheva S.N.

Clinical Hospital «Russian Railways Medicine»

Surgical treatment of a patient with stage v multinodular toxic goiter, severe thyrotoxicosis, strangulation syndrome and severe comorbidities

Authors:

Makarov I.V., Pismenny I.V., Karpova D.O., Romanov R.M., Fadeicheva S.N.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2023;(1): 94‑98

DOI: 10.17116/hirurgia202301194

Read: 2531 times

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Table of contents

SURGICAL TREATMENT OF A PATIENT WITH STAGE V MULTINODULAR TOXIC GOITER, SEVERE THYROTOXICOSIS, STRANGULATION SYNDROME AND SEVERE COMORBIDITIES
SURGICAL TREATMENT OF A PATIENT WITH STAGE V MULTINODULAR TOXIC GOITER, SEVERE THYROTOXICOSIS, STRANGULATION SYNDROME AND SEVERE COMORBIDITIES

To cite this article:

Makarov IV, Pismenny IV, Karpova DO, Romanov RM, Fadeicheva SN. Surgical treatment of a patient with stage v multinodular toxic goiter, severe thyrotoxicosis, strangulation syndrome and severe comorbidities. Pirogov Russian Journal of Surgery. 2023;(1):94‑98. (In Russ.)
https://doi.org/10.17116/hirurgia202301194

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

The authors describe thyroidectomy in a patient with multinodular toxic goiter stage V, severe thyrotoxicosis complicated by thyro-cardiac disease, strangulation syndrome and severe comorbidities. Nodular euthyroid goiter was first diagnosed in 1992, and resection of the right thyroid lobe was performed. Progressive enlargement of thyroid gland and thyrotoxicosis occurred after coronavirus infection in February, 2020. Along with progression of thyrotoxicosis and strangulation of cervical organs, the patient suffered from portal vein thrombosis, pulmonary embolism. Myeloproliferative disease with essential thrombocythemia was also diagnosed. Volume of the right and left thyroid lobes was 69 and 101.3 cm3, respectively. X-ray examination of the esophagus revealed narrowing at C6 level up to 5—8 mm. Surgery time was 2 hours, dimension of removed right thyroid lobe — 10.0×7.5×6.5 cm, left thyroid lobe — 11.0×6.5×5.5 cm, total weight — 348 g. The patient was discharged in 6 days after surgery.

Keywords:

multinodular toxic goiter
strangulation syndrome
complicated thyrotoxicosis
surgical treatment
post-Covid syndrome
clinical case

Authors:

Makarov I.V.

Samara State Medical University

Pismenny I.V.

Clinical Hospital «Russian Railways Medicine»

Karpova D.O.

Samara State Medical University

Romanov R.M.

Samara State Medical University;
Clinical Hospital «Russian Railways Medicine»

Fadeicheva S.N.

Clinical Hospital «Russian Railways Medicine»

Received:

27.04.2022

Accepted:

16.05.2022

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References:

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  7. Romanchishen AF, Kuzmichev AS, Bogatikov AA. Results of surgical treatment of nodular thyroid diseases in senile patients. Bulletin of Surgery. 2008;167(3):63-66.  https://doi.org/10.19163/1994-9480-2020-3(75)-26-33
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  9. Makarov IV, Galkin RA, Andreev M. Diffuse toxic goiter: results of surgical treatment and their prognosis. M.: Etching Publishing House; 2014.
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