Obstructive retrosternal goitre mimicking severe bronchial asthma in pregnancy

Guo Hou Loo, Wan Rahiza Wan Mat, Rohaizak Muhammad, Mawaddah Azman

Research output: Contribution to journalArticle

Abstract

Acute airway obstruction in pregnancy remains a challenge to manage. Failure of appropriate and timely airway management may lead to maternal morbidity and mortality such as aspiration pneumonitis or worst hypoxaemic cardiopulmonary arrest.1 As pregnancy may exacerbate asthma attacks, parturient presenting with wheezing or shortness of breath will commonly be treated as suffering from an asthmatic attack.2 However, it is important to note other possible differential diagnoses. Thyroid disease is relatively common in women of childbearing age. The thyroid gland undergoes several changes during pregnancy, which may lead to altered function as well as gland enlargement and cause upper airway obstruction and symptoms similar to a bronchial asthma attack.3,4 With that in mind, we report a case of a parturient with long-standing goitre in her second trimester who presented to our institution with acute respiratory symptoms and cardiopulmonary arrest.

Original languageEnglish
Article numbere229763
JournalBMJ case reports
Volume12
Issue number8
DOIs
Publication statusPublished - 1 Aug 2019

Fingerprint

Goiter
Asthma
Airway Obstruction
Pregnancy
Parturition
Airway Management
Maternal Mortality
Thyroid Diseases
Respiratory Sounds
Second Pregnancy Trimester
Heart Arrest
Dyspnea
Pneumonia
Thyroid Gland
Differential Diagnosis
Morbidity

Keywords

  • asthma
  • ear, nose and throat
  • pregnancy
  • thyroid disease

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Obstructive retrosternal goitre mimicking severe bronchial asthma in pregnancy. / Loo, Guo Hou; Wan Mat, Wan Rahiza; Muhammad, Rohaizak; Azman, Mawaddah.

In: BMJ case reports, Vol. 12, No. 8, e229763, 01.08.2019.

Research output: Contribution to journalArticle

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