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  • Title: Acute airway obstruction in the puerperium secondary to massive thyroid enlargement.
    Author: Okeke CI, Merah NA, Atoyebi OA, Adesida A.
    Journal: Int J Obstet Anesth; 2006 Jan; 15(1):79-84. PubMed ID: 16325393.
    Abstract:
    Pregnancy is known to be thyrogenic and may exacerbate features of thyroid disease. We report the case of a patient whose pregnancy was complicated by respiratory symptoms following remarkable increase in size of a pre-existing goitre. She declined surgery during the pregnancy and it was rescheduled for after the puerperium. A week postpartum she developed acute airway obstruction which necessitated urgent thyroidectomy and management of tracheomalacia with a tracheostomy postoperatively. The effect of pregnancy on the course of her disease and the anaesthetic challenges in the face of limited airway equipment are highlighted.
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