A case of thyroid hemiagenesis with thyroiditis

Sandeep Shrestha; Shova Maharjan

doi:10.18203/issn.2454-5929.ijohns20221654

Authors

Sandeep Shrestha Department of Otorhinolaryngology, Karuna Hospital, Kathmandu, Nepal
Shova Maharjan Department of Otorhinolaryngology, Karuna Hospital, Kathmandu, Nepal

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20221654

Keywords:

Thyroid, Hemiagenesis, Thyroiditis

Abstract

Thyroid hemiagenesis is a very rare congenital abnormality, in which one thyroid lobe fails to grow. Most of the patients are usually associated thyroid disease. The prevalence of thyroid hemiagenesis ranges between 0.05% and 0.2% within the literature. We hereby report a case of 29 years male with left lobe thyroid hemiagenesis with right lobe thyroiditis presented with a feature of hyperthyroidism. Thyroid hemiagenesis can be associated with hyper or hypothyroidism. In our case patient had a feature of hyperthyroidism with dearranged TFT. In our case we detected thyroid hemiagensis incidentally with the help of ultrasonography. Ultrasonography was the investigation that detected thyroid hemiagenesis. Ultrasonography is the most cost-effective means of diagnosing thyroid hemiagenesis. We further performed the thyroid scan to detect any hyperfunctioning thyroid gland or ectopic thyroid. Thyroid scan helped detect thyroiditis in the right thyroid lobe.

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Author Biography

Sandeep Shrestha, Department of Otorhinolaryngology, Karuna Hospital, Kathmandu, Nepal

MS ENT

ENT Department

Karuna hospital,Nepal

References

Rahilly R. The timing and sequence of events in the development of the human endocrine system during the embryonic period proper. Anat Embryol (Berl). 1983;166(3):439-51.

Aslaner A, Aydin M, Ozdere A. Multinodular goitre with thyroid hemiagenesis: a case report and review of the literature. Acta Chir Belg. 2005;105(5):528-30.

Zachariah SK, Narayanan P, Mathew NV, Krishnankutty SL. Hemiagenesis of the right lobe and Isthmus of the thyroid presenting as multinodular goitre. Res Endocrinol. 2014;2014:5.

Cansu GB, Taşkıran B, Bahçeci T. Thyroid hemiagenesis associated with graves' disease: a case report and review of the literature. Acta Endocrinol (Buchar). 2017;13(3):342-8.

Pizzini AM, Papi G, Corrado S, Carani C, Roti E. Thyroid hemiagenesis and incidentally discovered papillary thyroid cancer: case report and review of the literature. J Endocrinol Invest. 2005;28(1):66-71.

Park IH, Kwon SY, Jung KY, Woo JS. Thyroid hemiagenesis: clinical significance in the patient with thyroid nodule. J Laryngol Otol. 2006;120(7):605-7.

Jha PS, Kaginalkar V, Titare P, Jadhav MB. Hemiagenesis of thyroid with dual thyroid ectopia: A rare case report. Indian J Radiol Imaging. 2018;28(1):14-7.

Melnick JC, Stemkowski PE. Thyroid hemiagenesis (hockey stick sign): a review of the world literature and a report of four cases. J Clin Endocrinol Metab. 1981;52(2):247-51.

Mikosch P, Gallowitsch HJ, Kresnik E, Molnar M, Gomez I, Lind P. Thyroid hemiagenesis in an endemic goiter area diagnosed by ultrasonography: report of sixteen patients. Thyroid. 1999;9(11):1075-84.