Chest pain after thyroidectomy (examination of a clinical case)

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Abstract

Our patient’s early post-operative period was complicated by severe pain behind the sternum not associated with acute coronary syndrome. On the 7th day after the operation, the patient died of mediastinitis, which was complicated by severe sepsis and multiple organ failure. On autopsy, the damage to the posterior wall of the esophagus occurred as a result of compression trauma against cervical and thoracic spine osteophytes during hemithyroidectomy.

About the authors

Ainagul Zh. Bayalieva

Kazan State Medical University

Author for correspondence.
Email: bayalieva1@yandex.ru
ORCID iD: 0000-0001-7577-3284

MD, PhD, DSc, Professor, Head of the Department of anesthesiology and intensive care, disaster medicine, Kazan State Medical University

Russian Federation, Kazan

Sh. D. Gardanov

Kazan State Medical University

Email: bayalieva1@yandex.ru
ORCID iD: 0000-0002-6938-9646
Russian Federation, Kazan

A. A. Surikov

2First Moscow State Medical University (Sechenov University) on the basis of the Federal Center of Neurosurgery

Email: bayalieva1@yandex.ru
ORCID iD: 0000-0002-7437-6137
Russian Federation, Tyumen

References

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  3. Kaur J., Virk J.S. Dysphagia due to DISH-related anterior osteophytes: DISHphagia. BMJ Case Rep. 2017; bcr2017222512. doi: 10.1136/bcr-2017-222512.
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  5. Loginov N. V. Diffuse idiopathic skeletal hyperostosis: diagnostic difficulties in patients with dysphagia and dyspnoea. Rossiyskiy mediko-biologicheskij vestnik imeni akademika I.P. Pavlova. 2018;26(4):528-32. (In Russ).
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  8. Mureșan M., Mureșan S., Balmoș I., Sala D., Suciu B., Torok A. Sepsis in Acute Mediastinitis – A Severe Complication after Oesophageal Perforations. A Review of the Literature. J. Crit. Care Med. (Targu Mures). 2019;5(2):49-55. doi: 10.2478/jccm-2019-0008.
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Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. The position of the patient during surgery, hemithyroidectomy a) the position of the laryngoscope during intubation of the trachea; b) the location of the roller during oaeration of hemithireodectomy; c) еsophagus; d) оsteophytes on the bodies of the cervical vertebrae

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3. Fig. 2. Osteophyte of the cervical vertebra: on the sectional material

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4. Fig. 3. Osteophytes of the cervical vertebra

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