Chest pain after thyroidectomy (examination of a clinical case)

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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.

作者简介

Ainagul Bayalieva

Kazan State Medical University

编辑信件的主要联系方式.
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

俄罗斯联邦, Kazan

Sh. Gardanov

Kazan State Medical University

Email: bayalieva1@yandex.ru
ORCID iD: 0000-0002-6938-9646
俄罗斯联邦, Kazan

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
俄罗斯联邦, Tyumen

参考

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  2. Olifirova O.S., Naryshkina S.V., Beloborodov V.A. Multi-node goiter from the viewpoint of a surgeon and therapist: textbook. [Mnogouzlovoj zob s pozicii hirurga i terapevta: Uchebnoe posobie]. Blagoveshchensk. 2008:121. (In Russ).
  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.
  4. Kirilenko S.I., Litvin A.A., Kryzh S.A., Rozhin V.V. Dysphagia as a result of compression of the esophagus by osteophytes of the cervical spine. Novosti hirurgii. 2015;23(6):688-92. (In Russ).
  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).
  6. Alsalmi S., Bugdadi A., Alkhayri A., Fichten A., Peltier J. Urgent Anterior Cervical Osteophytectomy for an Asymptomatic Cervical Hyperostosis to Overcome Failed Intubation. Cureus. 2018;10(3):e2400. doi: 10.7759/cureus.2400.
  7. Ridder G.J., Maier W., Kinzer S., Teszler C.B., Boedeker C.C., Pfeiffer J. Descending necrotising mediastinitis: contemporary trends in aetiology, diagnosis, management, and outcome. Ann. Surg. 2010;251(3):528-34.
  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.
  9. Prado-Calleros H.M., Jiménez-Fuentes E., Jiménez-Escobar I. Descending necrotizing mediastinitis: Systematic review on its treatment in the last 6 years, 75 years after its description. Head Neck. 2016;38 Suppl. 1:E2275-83. doi: 10.1002/hed.24183.

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