Struma ovarii presenting with Hashimoto's thyroiditis: a case report

<p>Abstract</p> <p>Introduction</p> <p>We report the case of a patient diagnosed with a struma ovarii with lymphocytic thyroiditis of her ectopic thyroid tissue. We believe that this case presents an unusual variation of a struma ovarii and a rare presentation of subcli...

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Main Authors: Bozkurt Nujen, Karbek Başak, Özkaya Evrim, Çakal Erman, Delibaşi Tuncay
Format: Article
Language:English
Published: BMC 2011-12-01
Series:Journal of Medical Case Reports
Online Access:http://www.jmedicalcasereports.com/content/5/1/572
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author Bozkurt Nujen
Karbek Başak
Özkaya Evrim
Çakal Erman
Delibaşi Tuncay
author_facet Bozkurt Nujen
Karbek Başak
Özkaya Evrim
Çakal Erman
Delibaşi Tuncay
author_sort Bozkurt Nujen
collection DOAJ
description <p>Abstract</p> <p>Introduction</p> <p>We report the case of a patient diagnosed with a struma ovarii with lymphocytic thyroiditis of her ectopic thyroid tissue. We believe that this case presents an unusual variation of a struma ovarii and a rare presentation of subclinical hyperthyroidism.</p> <p>Case presentation</p> <p>A 17-year-old Caucasian female patient who had undergone an ovariectomy and been diagnosed with a struma ovarii was subsequently found to have persistent subclinical hyperthyroidism with a low radioiodine uptake. Abdominal magnetic resonance imaging and iodine-131 whole body scanning showed no residue or recurrence and a thyroid ultrasonography was normal. Laboratory and histopathological findings suggested Hashimoto's thyroiditis as the cause of the subclinical thyrotoxicosis, which had presumably started at the ectopic tissue.</p> <p>Conclusion</p> <p>Struma ovarii is a rare cause of thyrotoxicosis, and can be difficult to diagnose in the presence of co-existing thyroid disorders. In patients with a struma ovarii who have not undergone thyroidectomy, there is no common consensus on management in terms of residue, recurrence or metastasis. Autoimmune thyroiditis must be kept in mind for a differential diagnosis.</p>
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spelling doaj.art-8105377011eb4fcc89d1f9f83eee91782022-12-21T21:04:54ZengBMCJournal of Medical Case Reports1752-19472011-12-015157210.1186/1752-1947-5-572Struma ovarii presenting with Hashimoto's thyroiditis: a case reportBozkurt NujenKarbek BaşakÖzkaya EvrimÇakal ErmanDelibaşi Tuncay<p>Abstract</p> <p>Introduction</p> <p>We report the case of a patient diagnosed with a struma ovarii with lymphocytic thyroiditis of her ectopic thyroid tissue. We believe that this case presents an unusual variation of a struma ovarii and a rare presentation of subclinical hyperthyroidism.</p> <p>Case presentation</p> <p>A 17-year-old Caucasian female patient who had undergone an ovariectomy and been diagnosed with a struma ovarii was subsequently found to have persistent subclinical hyperthyroidism with a low radioiodine uptake. Abdominal magnetic resonance imaging and iodine-131 whole body scanning showed no residue or recurrence and a thyroid ultrasonography was normal. Laboratory and histopathological findings suggested Hashimoto's thyroiditis as the cause of the subclinical thyrotoxicosis, which had presumably started at the ectopic tissue.</p> <p>Conclusion</p> <p>Struma ovarii is a rare cause of thyrotoxicosis, and can be difficult to diagnose in the presence of co-existing thyroid disorders. In patients with a struma ovarii who have not undergone thyroidectomy, there is no common consensus on management in terms of residue, recurrence or metastasis. Autoimmune thyroiditis must be kept in mind for a differential diagnosis.</p>http://www.jmedicalcasereports.com/content/5/1/572
spellingShingle Bozkurt Nujen
Karbek Başak
Özkaya Evrim
Çakal Erman
Delibaşi Tuncay
Struma ovarii presenting with Hashimoto's thyroiditis: a case report
Journal of Medical Case Reports
title Struma ovarii presenting with Hashimoto's thyroiditis: a case report
title_full Struma ovarii presenting with Hashimoto's thyroiditis: a case report
title_fullStr Struma ovarii presenting with Hashimoto's thyroiditis: a case report
title_full_unstemmed Struma ovarii presenting with Hashimoto's thyroiditis: a case report
title_short Struma ovarii presenting with Hashimoto's thyroiditis: a case report
title_sort struma ovarii presenting with hashimoto s thyroiditis a case report
url http://www.jmedicalcasereports.com/content/5/1/572
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AT karbekbasak strumaovariipresentingwithhashimotosthyroiditisacasereport
AT ozkayaevrim strumaovariipresentingwithhashimotosthyroiditisacasereport
AT cakalerman strumaovariipresentingwithhashimotosthyroiditisacasereport
AT delibasituncay strumaovariipresentingwithhashimotosthyroiditisacasereport