PMC6543092_01
Trauma CT-scan: C1 fracture (arrows).
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C1 fracture on CT-scan imaging (Fig. 1). Clinically, he was hypotensive and cervical spinal shock was suspected.
a/Chest x-ray showing large neck mass (arrows) b/CT-scan at admission (sagittal): large retrosternal goiter reaching level of the aortic arch (arrows). c,d,e/CT-scan at admission (transverse cuts at various levels): large goiter compressing trachea and displacing it to the left (arrow).
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Chest x-ray showed good positioning of the tube, but also a mass in the neck and upper mediastinum (Fig. 2a). This corresponded to the mass seen on initial chest x-ray (Fig. 2a, b, c, d, e).
a/Intraoperative findings: Goiter delivered out of the neck incision (arrows) b/Specimen: large goiter.
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The isthmus was divided using the harmonic scalpel and thereafter, the goiter could be brought out of the neck (Fig. 3a). Last adhesions were cut and the specimen was handed off for pathology (Fig. 3b).