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Arch Dis Child Fetal Neonatal Ed doi:10.1136/archdischild-2012-303236
  • Images in neonatal medicine

Silencing a noisy goitre sans scalpel

  1. B Vishnu Bhat
  1. Department of Pediatrics and Nuclear Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India
  1. Correspondence to Dr Adhisivam Bethou, Department of Pediatrics, JIPMER, Pondicherry 605 006, India; adhisivam1975{at}yahoo.co.uk
  • Received 19 October 2012
  • Revised 28 November 2012
  • Accepted 3 December 2012
  • Published Online First 8 January 2013

A term male baby weighing 2.6 kg born by spontaneous vaginal delivery was noted to have a large neck swelling and respiratory distress. Antenatal ultrasonography had revealed a large thyroid swelling encasing the trachea but not extending into the mediastinum or causing obstruction. The mother was clinically euthyroid and was not on any drugs. On examination, he had severe stridor and tachypnoea and required oxygen by nasal prongs. His neck was hyperextended …

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