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OLD NODULAR GOITER SURROUNDING TRACHEA, POSTERIOR TO THE CAROTID WITH THE ISTHMUS POSTERIOR TO THE ESOPHAGUS:  REPORT OF A CASE WITH SUDDEN DEATH FROM ACUTE ABSCESS

MILES F. PORTER, M.D.
Arch Surg. 1929;19(3):466-470. doi:10.1001/archsurg.1929.01150030101005.
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History.  —S., a man, aged 60, was brought to the hospital suffering from retention of urine due to an enlarged prostate. He had a large, nodular, hard goiter which was fixed and which he said never bothered him. However, on inquiry, it was found that for six or eight months he had been unable to breathe well when lying flat, and that for the same length of time his voice had been affected. There were no toxic symptoms. He had had the goiter "ever since he could remember."Catheterization, with the usual treatment after ten days or two weeks, put the patient in a condition for operation. A two-stage prostatectomy was done on December 24 and January 15, respectively. The patient was making an ideal recovery until January 21, when he had a chill accompanied by severe pain in the right side of the goiter and a temperature of 103.4

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