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• W2163954986 abstract "Clinical Summary A 76-year-old woman was admitted to the emergency department. While driving her car (50 km/h), she had had a frontal collision with a stone wall. She was wearing a seat belt, but the airbag did not deploy. An eye witness saw her leaving the car with no difficulty, but 10 minutes later, the paramedics found her in respiratory and neurologic distress. Glasgow Coma Scale score was 3, and her vital signs were as follows: pulse 130 beats/min, systolic arterial pressure 70 mm Hg, arterial oxygen saturation 82%, and pupils bilaterally reactive. An orotracheal intubation was done, and she was transported to the hospital. Physical examination showed no external injury. After fluid resuscitation, her vital signs improved (Glasgow Coma Scale score 12), but facial and neck swelling were noted, with a turgescent external jugular veins. Hematologic analysis showed a hematocrit of 29% and a hemoglobin of 10 g/L, with no other significant anomalies. The chest radiograph showed a mediastinal superior enlargement with tracheal deviation. The chest computed tomographic (CT) scan revealed a mediastinal left-sided mass developing from the inferior pole of the thyroid lobe to the left main bronchus, with well-defined borders. The heterogeneous lesion was 96 mm in the great longitudinal axis with no iodine enhancement. The trachea and esophagus were displaced rightward, and the great vessels were displaced forward (Figure 1). Magnetic resonance imaging confirmed the inhomogeneous lesion and excluded spinal cord injury. Additional CT and magnetic resonance imaging did not find any intracranial or spine anomalies." @default.
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• W2163954986 date "2005-02-01" @default.
• W2163954986 modified "2023-09-26" @default.
• W2163954986 title "Traumatic rupture of retrosternal goiter: A rare case of acute superior mediastinal syndrome" @default.
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• W2163954986 doi "https://doi.org/10.1016/j.jtcvs.2004.06.032" @default.
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