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Int J Obstet Anesth · Jan 2006
Case ReportsAcute airway obstruction in the puerperium secondary to massive thyroid enlargement.
- C I Okeke, N A Merah, O A Atoyebi, and A Adesida.
- Department of Anaesthesia, Lagos University Teaching Hospital, Idi-Araba, Lagos, Nigeria. chinweok@yahoo.com
- Int J Obstet Anesth. 2006 Jan 1; 15 (1): 79-84.
AbstractPregnancy is known to be thyrogenic and may exacerbate features of thyroid disease. We report the case of a patient whose pregnancy was complicated by respiratory symptoms following remarkable increase in size of a pre-existing goitre. She declined surgery during the pregnancy and it was rescheduled for after the puerperium. A week postpartum she developed acute airway obstruction which necessitated urgent thyroidectomy and management of tracheomalacia with a tracheostomy postoperatively. The effect of pregnancy on the course of her disease and the anaesthetic challenges in the face of limited airway equipment are highlighted.
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