Insuficiência respiratória aguda secundária a bócio mergulhante da tireoide

Relato de caso de bocio mergulhante (BM) em idosa com longa historia de bocio nodular toxico (BNT) e que evoluiu com insuficiencia respiratoria aguda enquanto aguardava cirurgia eletiva para extirpacao do bocio. A evolucao das complicacoes respiratorias dessa paciente sugere que o tratamento cirurgico do BM em idosos deveria ser feito o mais breve possivel, apos o surgimento de sintomatologia respiratoria, para evitar complicacoes.(AU) Case report of substernal thyroid goiter in an elderly woman with long record of toxic nodular goiter that progressed to acute respiratory insufficiency while waiting for elective surgery for extirpation of goiter. The development of respiratory complications suggests that the surgical treatment of substernal thyroid goiter affecting elderly people should be pursuit as soon as possible after the appearance of respiratory symptomatology as a means of avoiding complications.(AU)