J Korean Thyroid Assoc.  2013 Nov;6(2):140-142. 10.11106/jkta.2013.6.2.140.

A Case of Ectopic Lingual Thyroid with Situs Inversus Totalis

Affiliations
  • 1Department of Otolaryngology-HNS, Chonbuk National University Medical School, Jeonju, Korea. khhong@chonbuk.ac.kr

Abstract

Situs inversus totalis (SIT) is a rare congenital condition in which the viscera are transposed as a mirror of normal physiologic arrangement. We describe a rare case of lingual thyroid associated with SIT. A 64-year-old female who was diagnosed with SIT, visited our clinic due to pharyngeal foreign body sensation. Physical examination revealed a 2.5x2.5x2.0 cm sized, pinkish, round mass in the base of the tongue. Computed tomography suggested the diagnosis of lingual thyroid. She has been on regular follow up with levothyroxine therapy. To our best knowledge, this is the first case of lingual thyroid (LT) associated with SIT. The literature is reviewed and clinical features about LT and SIT are presented.

Keyword

Situs inversus; Lingual thyroid

MeSH Terms

Diagnosis
Female
Follow-Up Studies
Foreign Bodies
Humans
Lingual Thyroid*
Middle Aged
Physical Examination
Sensation
Situs Inversus*
Thyroxine
Tongue
Viscera
Thyroxine

Figure

  • Fig. 1. Laryngoscopic finding. It shows 2.5X2.5 cm sized pinkish round soft tissue mass in the base of tongue.

  • Fig. 4. Axial CT scan of the neck with contrast enhancement. It shows no cervical thyroid in the usual pretracheal area.

  • Fig. 3. Axial CT scan of the neck with contrast enhancement. It shows 2.5X2.5 cm sized well circumscribed and well enhancing round mass in the posterior midportion of the tongue.

  • Fig. 2. Chest PA (A) and axial CT scan of the neck with contrast enhancement (B) show dextrocardia.


Reference

References

1. Nursal TZ, Baykal A, Iret D, Aran O. Laparoscopic cholecystectomy in a patient with situs inversus totalis. J Laparoendosc Adv Surg Tech A. 2001; 11(4):239–41.
Article
2. Douglas PS, Baker AW. Lingual thyroid. Br J Oral Maxillofac Surg. 1994; 32(2):123–4.
Article
3. Akyol MU, Ozcan M. Lingual thyroid. Otolaryngol Head Neck Surg. 1996; 115(5):483–4.
Article
4. Huhta JC, Hagler DJ, Seward JB, Tajik AJ, Julsrud PR, Ritter DG. Two-dimensional echocardiographic assessment of dextrocardia: a segmental approach. Am J Cardiol. 1982; 50(6):1351–60.
Article
5. Torgersen J. Genic factors in visceral asymmetry and in the development and pathologic changes of lungs, heart and abdominal organs. Arch Pathol (Chic). 1949; 47(6):566–93.
6. Ellis K, Fleming RJ, Griffiths SP, Jameson AG. New concepts in dextrocardia. Angiocardiographic considerations. Am J Roentgenol Radium Ther Nucl Med. 1966; 97(2):295–313.
7. Lee SE, Kim HY, Jung SE, Lee SC, Park KW, Kim WK. Situs anomalies and gastrointestinal abnormalities. J Pediatr Surg. 2006; 41(7):1237–42.
Article
8. Williams JD, Sclafani AP, Slupchinskij O, Douge C. Evaluation and management of the lingual thyroid gland. Ann Otol Rhinol Laryngol. 1996; 105(4):312–6.
Article
9. Neinas FW, Gorman CA, Devine KD, Woolner LB. Lingual thyroid. Clinical characteristics of 15 cases. Ann Intern Med. 1973; 79(2):205–10.
10. Kansal P, Sakati N, Rifai A, Woodhouse N. Lingual thyroid. Diagnosis and treatment. Arch Intern Med. 1987; 147(11):2046–8.
Article
Full Text Links
  • JKTA
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr