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Bilobar thyroid agenesis presenting with adenomatous isthmus and hypothyroidism in a 13 year old girl: A Case report

Year 2010, Volume: 2 Issue: 2, 0 - , 10.06.2010

Abstract

Agenesis (complete non formation) of human organs or glands is known since antiquity for example asplenia (spleenic agenesis), gall bladder agenesis, renal agenesis and so on. Endocrine glands like adrenals and thyroid are no exception to agenesis. Thyroid is the first endocrine gland to develop and is not uncommonly affected with congenital abnormalities. Commonest is left lobar hemi-agenesis. However, only one case of bilobar thyroid agenesis (BTA) has been reported in the literature. We report a case of BTA with adenomatous Isthmus and sub clinical hypothyroidism in a 13 year old girl who presented with midline thyroid nodule. FNAC was suggestive of colloid nodule with cystic degeneration. Preoperatively hypothyroidism was corrected. At surgery, entire isthmus was found to be replaced by a large cyst and both lobes of the thyroid were absent. So, Isthmusectomy amounting to total thyroidectomy was done and she was put on thyroxine replacement therapy. Preoperative diagnosis of BTA is difficult even if patient develops nodule or becomes symptomatic. Many cases go unnoticed or detected only intra operatively; and they require life long thyroxine replacement therapy.

Year 2010, Volume: 2 Issue: 2, 0 - , 10.06.2010

Abstract

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Details

Primary Language English
Journal Section Case Reports
Authors

T Kumar This is me

PV Pradeep

Munisamy Ragavan

Publication Date June 10, 2010
Published in Issue Year 2010 Volume: 2 Issue: 2

Cite

APA Kumar, T., Pradeep, P., & Ragavan, M. (2010). Bilobar thyroid agenesis presenting with adenomatous isthmus and hypothyroidism in a 13 year old girl: A Case report. Journal of Pediatric Sciences, 2(2). https://doi.org/10.17334/jps.47443
AMA Kumar T, Pradeep P, Ragavan M. Bilobar thyroid agenesis presenting with adenomatous isthmus and hypothyroidism in a 13 year old girl: A Case report. Journal of Pediatric Sciences. May 2010;2(2). doi:10.17334/jps.47443
Chicago Kumar, T, PV Pradeep, and Munisamy Ragavan. “Bilobar Thyroid Agenesis Presenting With Adenomatous Isthmus and Hypothyroidism in a 13 Year Old Girl: A Case Report”. Journal of Pediatric Sciences 2, no. 2 (May 2010). https://doi.org/10.17334/jps.47443.
EndNote Kumar T, Pradeep P, Ragavan M (May 1, 2010) Bilobar thyroid agenesis presenting with adenomatous isthmus and hypothyroidism in a 13 year old girl: A Case report. Journal of Pediatric Sciences 2 2
IEEE T. Kumar, P. Pradeep, and M. Ragavan, “Bilobar thyroid agenesis presenting with adenomatous isthmus and hypothyroidism in a 13 year old girl: A Case report”, Journal of Pediatric Sciences, vol. 2, no. 2, 2010, doi: 10.17334/jps.47443.
ISNAD Kumar, T et al. “Bilobar Thyroid Agenesis Presenting With Adenomatous Isthmus and Hypothyroidism in a 13 Year Old Girl: A Case Report”. Journal of Pediatric Sciences 2/2 (May 2010). https://doi.org/10.17334/jps.47443.
JAMA Kumar T, Pradeep P, Ragavan M. Bilobar thyroid agenesis presenting with adenomatous isthmus and hypothyroidism in a 13 year old girl: A Case report. Journal of Pediatric Sciences. 2010;2. doi:10.17334/jps.47443.
MLA Kumar, T et al. “Bilobar Thyroid Agenesis Presenting With Adenomatous Isthmus and Hypothyroidism in a 13 Year Old Girl: A Case Report”. Journal of Pediatric Sciences, vol. 2, no. 2, 2010, doi:10.17334/jps.47443.
Vancouver Kumar T, Pradeep P, Ragavan M. Bilobar thyroid agenesis presenting with adenomatous isthmus and hypothyroidism in a 13 year old girl: A Case report. Journal of Pediatric Sciences. 2010;2(2).