PMC4643339_01
Patient medical history timeline and clinical case presentation.
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An 80-year-old white woman was referred to the Department of Surgery for a symptomatic thyroid nodule (Fig. 1).
Computed tomography image of the nodule in the middle portion of the body of the pancreas.
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Magnetic resonance imaging showing a solid nodule in the transition between body and tail of the pancreas (arrow), with an enhancement pattern suggestive of a neuroendocrine origin.
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A subsequent magnetic resonance imaging (MRI) identified a solid nodule in the transition between the pancreatic body and tail, measuring 20 x 13 mm, with an enhancement pattern suggestive of a neuroendocrine origin (Fig. 3).
Dislocation of the right lobe of the thyroid with exposure of the right recurrent laryngeal nerve and the right inferior parathyroid.
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The resection was carried out without difficulty after identifying superior and inferior right parathyroid glands and the right laryngeal recurrent nerve (Fig. 4).