Tracheal necrosis, oesophageal fistula: unusual complications of thyroidectomy. Report of two case and literature review.
Ann Ital Chir
; 83(3): 259-64, 2012.
Article
em En
| MEDLINE
| ID: mdl-22610123
ABSTRACT
BACKGROUND:
Thyroidectomy is considered a low-risk operation. The authors report a case of tracheal necrosis after total thyroidectomy for multinodular goiter with bilateral adenomas, and a case of oesophageal fistula after total thyroidectomy for papillary cancer. METHODS ANDRESULTS:
The patient with tracheal perforation was treated by a non operative management after clinical stabilization. The patient with oesophageal perforation underwent surgical treatment consisting of neck drain placement. Both patients are alive after 12 months of follow-up, although the patient who had surgery for papillary cancer of the thyroid gland was found to have multiple diffuse liver and lung metastases.CONCLUSIONS:
Thyroidectomy is a safe surgical procedure, but in some patients major complications may arise. In cases of iatrogenic tracheal or oesophageal perforation, conservative non-surgical or conservative surgical treatment, in specialized centers, results in a favourable outcome. The authors discuss the risk factors and management of these two rare complications.
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Base de dados:
MEDLINE
Assunto principal:
Tireoidectomia
/
Traqueia
/
Fístula Esofágica
Tipo de estudo:
Etiology_studies
/
Risk_factors_studies
Limite:
Aged
/
Humans
/
Male
Idioma:
En
Ano de publicação:
2012
Tipo de documento:
Article