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Images in neonatal medicine
Silencing a noisy goitre sans scalpel
  1. Bethou Adhisivam,
  2. K N Harikrishnan,
  3. P Femitha,
  4. Rojo Joy,
  5. P Prasadkumar,
  6. Shruthi K Bharadwaj,
  7. Gane D Bahubali,
  8. Dhanpathi Halnaik,
  9. 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}

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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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  • Contributors AB, drafted manuscript and coordinated management; KNH, involved in follow up of the baby; PF, JR,  PP, SKB, involved in clinical management; GDB, coordinated investigations; DH, performed radionuclide scan; VBB, edited the manuscript and will be guarantor.

  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.