case_images: PMC3657934_01
case_images: Pre-operative photograph of the patient
case_images: SJA-7-86-g001.jpg
case_images: PMC3657934_01_SJA-7-86-g001.jpg
case_images: F1
case_images: The neck swelling was 30 cm x 15 cm x 10 cm in size, nodular, extending from lower jaw to below sternal notch [Figure 1].
case_images: X-ray showing tracheal compression in A-P but not in lateral view
case_images: SJA-7-86-g002.jpg
case_images: PMC3657934_01_SJA-7-86-g002.jpg
case_images: F2
case_images: Radiological examination revealed lateral displacement of the trachea to the right on antero-posterior view and no compression of trachea in lateral view [Figure 2].
case_images: CT scan showing distortion of the larynx by goiter
case_images: SJA-7-86-g003.jpg
case_images: PMC3657934_01_SJA-7-86-g003.jpg
case_images: F3
case_images: CT scan showed huge MNG with retrosternal extension [Figure 3].
case_images: a) Patient after intubation b) photograph of the patient after surgery and extubation
case_images: SJA-7-86-g004.jpg
case_images: PMC3657934_01_SJA-7-86-g004.jpg
case_images: F4
case_images: The breathing circuit was attached, and the tube placement was confirmed by movement of reservoir bag and capnography [Figure 4a]. Patient was extubated and kept in post-operative area for 24 hours before being discharged to ward [Figure 4b].