Year 2013 Vol. 21 No 5

CASE REPORTS

V.D. LUTSENKO1,2, V.I. SHUTOV1,2, O.A. ZAMULIN2, A.G. ZHARKO3, S.V. ZHARKO3

A RARE CLINICAL CASE: A FOREIGN BODY IN THE THYROID GLAND

"Belgorod State National Research University"1
MBEPH "Municipal Hospital 2"2, Belgorod,
RSBEPH "Belgorod Regional Hospital of Saint Ioasaf" 3,.
The Russian Federation

Objectives. To describe a casuistic case as well as to assess the effectiveness of the chosen tactics of treatment a patient with a foreign body in the thyroid gland.
Methods. The patient with a foreign body in the right lobe of the thyroid gland (fish bone) was under our observation. The patient has not applied for medical help on the 5th day. At hospitalization the patient had the symptoms of acute thyroiditis.
Results. Complex examination (fibrogastroscopy, ultrasound, spiral computed tomography) has been conducted. As the result a foreign body in the right lobe of the thyroid gland was detected. Initially, it was decided to carry out a conservative tactics: massive antibiotic, anti-inflammatory therapy, and then in the cold period the patient underwent the surgical intervention (hemithyroidectomy). The patient was discharged on 7th days after the surgery.
Conclusions. We should recommend the following treatment tactics of patient with foreign bodies in the thyroid gland: if septic complications are absent, treatment is carried out in two stages: the first a conservative stage, the second surgery. In case of septic complications development the urgent surgery with simultaneous massive antibacterial therapy is indicated.

Keywords: thyroid gland, foreign body, fish bone
p. 107 110 of the original issue
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Address for correspondence:
308036, Rossiiskaia Federatsiia, g. Belgorod, ul. Gubkina, d. 46, MBUZ Gorodskaia bol'nitsa 2 g. Belgorod,
e-mail: lutsenko@gb2bel.ru,
Lutsenko Vladimir Dmitrievich
Information about the authors:
Lutsenko V.D. MD, professor, a head of the chair of general surgery with the course of operative surgery and topographic anatomy of FSAEI HPE "Belgorod State National Research University", the chief physician of MBEPH "Miniciple Hospital 2", Belgorod.
Shutov V.I. PhD, an assistant of the chair of general surgery with the course of operative surgery and topographic anatomy of FSAEI HPE "Belgorod State National Research University", a physician-otolaryngologist of a department of otorhinolaryngology MBEPH "Miniciple Hospital 2", Belgorod.
Zamulin O.A. A deputy of chief physician of MBEPH "Miniciple Hospital 2", Belgorod.
Zharko A.G. A surgeon of RSBEPH "Belgorod Regional Hospital of Saint Ioasaf".
Zharko S.V. PhD, a surgeon of RSBEPH "Belgorod Regional Hospital of Saint Ioasaf".
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