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A Journal on Surgery

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Chirurgia 2012 August;25(4):331-4

language: English

Raynaud’s Syndrome caused by intrathoracic goiter. Case report

Jabłoński S., Misiak P.

Department of Thoracic Surgery, General and Oncological Surgery,, Medical University of Lodz, Żeromskiego St., Poland


Intrathoracic goiter is a rare cause of the occurrence of pathological mass in posterior mediastinum. The study presents a case of a huge toxic mediastinal goiter with atypical symptoms in the form of disordered blood supply to the right upper extremity. Initially, due to the necrosis of distal phalanges of the right hand second finger, the patient was diagnosed with Raynaud’s syndrome and ordered thoracic sympathectomy through videothoracoscopy to be performed. Further diagnostics revealed right subclavian vessels compression by a large mediastinal goiter. The goiter was resected successfully through a combined cervico-thoracotomy access.

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