Critical Care and Shock

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


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.