Abstract

A 40 yrs female muslim housewife attended Endocrinology department of Dhaka Medical College Hospital with the complaints of swelling in front of neck, alone with dryness of the skin, cold intolerance, constipation and menorrhagia. Physical examination and laboratory investigations substantiated the diagnosis of accessory thyroid gland in front of neck above the isthmus of the thyroid gland. RAIU and scanning showed normally present thyroid gland with accessory thyroidal nodular swelling in the midline in the upper part of front of neck .USG of the thyroid gland showed normal size of thyroid gland with coarse echo texture. A hypo echoic solid thyroid nodule was also seen above the isthmus of the thyroid gland, measuring about 2.4 cm×2.2cm. Thyroid function tests revealed hypothyroidism. She is on thyroid hormone replacement therapy. This rare presentation of accessory thyroid gland with hypothyroid state led us to report the case. Keywords: Accessory thyroid gland, Hypothyroidsm, Ectopic, Bangladesh DOI: http://dx.doi.org/10.3329/jom.v12i2.8426 JOM 2011; 12(2): 180-182

Highlights

  • The organogenesis of the thyroid gland in human is often disturbed leading to a variety of morphological variation of the gland, such as hypoplasia, ectopy, hemiagenesis and agenesis

  • The small opening the thyroglossal duct persists as a small pit, the foramen cecam of the tongue

  • Ectopic thyroid tissue is defined as thyroid tissue located other than anterolaterally to the second to fourth tracheal cartilages

Read more

Summary

Introduction

The organogenesis of the thyroid gland in human is often disturbed leading to a variety of morphological variation of the gland, such as hypoplasia, ectopy, hemiagenesis and agenesis. As the embryo elongates and the tongue grows, the developing thyroid gland descends in to the neck, passing ventral to the developing hyoid bone and the lateral cartilages. The developing thyroid gland is connected to the tongue by the thyroglossal duct. By 7th wk the thyroid gland has usually reached its final site in the neck.

Results
Conclusion

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call

Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.