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Ann Thorac Surg 2007;84:300
© 2007 The Society of Thoracic Surgeons
a Department of Respiratory and Critical Care Medicine, Singapore General Hospital, Singapore
b Department of Pulmonology, Free University Medical Center, Amsterdam, the Netherlands
c Department of Surgery, Free University Medical Center, Amsterdam, the Netherlands
* Address correspondence to Dr Lee, Department of Respiratory and Critical Care Medicine, Singapore General Hospital, Outram Road, 169608, Singapore (Email: lee.pyng@sgh.com.sg).
| The first 20% of the full text of this article appears below. |
A 35-year-old woman presented with stridor. A computed tomographic scan of the thorax revealed a mediastinal mass with tracheal and esophageal compression (Fig 1A) and fibrosis of the thyroid (Fig 1B). Mediastinoscopy performed for tissue biopsy was complicated by massive hemorrhage from a brachiocephalic vein injury that necessitated a sternotomy. Diagnosis of Riedels thyroiditis (RT) with fibrosing mediastinitis was made, and prednisolone was instituted. The patient improved, but she had dysphagia develop 16 months later.
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