Bronchiectatic Destroyed Lobe as a Complication of Intrathoracic Goiter

Abstract

The main clinical features of intrathoracic goiter depend on the development of pressure effects on the various neighboring structures. The different effects of pressure in the mediastinum by intrathoracic goiter are listed in the Table. Pressure on the trachea causing stridor or acute dyspnea is a frequent condition. On the other hand, compression and obstruction of a bronchus with resulting atelectasis is rarely noted, and only two reports mentioning this condition have appeared. Falor et al. described a case in which a retroaortic goiter caused pressure on the right intermedius bronchus, resulting in transitory atelectasis of the middle and lower lobe.¹⁴ Four of Hoffman's thirty-two patients with intrathoracic goiter had radiographic evidence of segmental or lobar atelectasis on admission; however, no details of these cases are given. The following case represents what is believed to be the first reported instance of pulmonary fibrosis with cystic bronchiectasis due to bronchial obstruction