University Publications

Simple Multinodular goitre is common cause of huge thyroid and surgery is indicated when it causes dyspnoea and extends retrosternally. Case presentation We present a 54 -year old male, who had long standing goitre, that enlarged markedly over the last two years causing dyspnoea. Blood investigations showed normal thyroid function. CT scan of the neck and chest with contrast revealed huge thyroid in the neck and left intrathoracic extension lying on the aortic arch.Fine needle aspiration and Histopatholgy of the gland revealed benign multindular goitre. Total thyroidectomy was done through cervical incision without complications. Discussion Total thyroidectomy is the primary treatment of retrosternal goitre. Conclusion Surgery for huge retrosternal multinodular is a challenging procedure that needs careful dissection and identification of surrounding structures to prevent postoperative morbidities.