A Case of Ectopic Lingual Thyroid with Situs Inversus Totalis

Tae Hong Yong; Suk Oh Jong; Sub Yoon Yun; Su Yang Yun; Hwan Hong Ki

doi:10.11106/jkta.2013.6.2.140

Journal List > J Korean Thyroid Assoc > v.6(2) > 1056537

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

Yong, Jong, Yun, Yun, and Ki: A Case of Ectopic Lingual Thyroid with Situs Inversus Totalis

Original Article

J Korean Thyroid Assoc 2013;6(2):140-142.

Published online: 3 May 2013

DOI: https://doi.org/10.11106/jkta.2013.6.2.140

A Case of Ectopic Lingual Thyroid with Situs Inversus Totalis

Tae Hong Yong, Suk Oh Jong, Sub Yoon Yun, Su Yang Yun, Hwan Hong Ki

Department of Otolaryngology-HNS, Chonbuk National University Medical School, Jeonju, Korea

Address reprint requests to Ki Hwan Hong, MD, Department of Otolaryngology-HNS, Chonbuk National University Medical School, Geumam-dong, Deukjin-gu, Jeonju 560-182, Korea Tel: 82-63-250-1990, Fax: 82-63-250-1986, E-mail: khhong@chonbuk.ac.kr

Received 24 September 2013 Accepted 18 November 2013

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http:// creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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 2.5 x2.5 x 2.0 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.

Keywords: Situs inversus, Lingual thyroid

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.

2. Douglas PS, Baker AW. Lingual thyroid. Br J Oral Maxillofac Surg. 1994; 32(2):123–4.

3. Akyol MU, Ozcan M. Lingual thyroid. Otolaryngol Head Neck Surg. 1996; 115(5):483–4.

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.

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.

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.

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.

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.

TOOLS

Similar articles