Crtical Care and Shock Journal

Acute postobstructive pulmonary edema caused by a massive substernal thyroid goiter: a case report and a brief literature review

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Overview

Abstract

Acute Postobstructive Pulmonary Edema (APOPE) is rare form of non-cardiogenic pulmonary edema. APOPE is a manifestation of acute airway obstruction usually described following anesthesia in post-operative phase due to laryngospasm. We present a case of 58 year-old lady who developed a severe APOPEinduced by a massive thyroid goiter. The subsequent imaging studies revealed the compressing mass-effect of the thyroid goiter on the upper airway. The prompt recognition of this rare clinical event is crucial to rapidly restore the patency of the airway and correct hypoxemia.

Lorenzo Zaffiri, Erol Kohli, Joanne Monterroso, Seena Abraham, Matthew V. Zaccheo, Eric Feucht

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June 2024, Volume 27 Number 3
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