Thyroid isthmus agenesis associated with solitary nodule: A case report

Abstract

BACKGROUND: Agenesis of the isthmus associated with nontoxic solitary nodular goiter is a rare congenital anomaly. Imaging data exceptionally has been previously reported in the English language literature. CASE PRESENTATION: Preoperative assessment of a 22-year-old white man patient showed an asymptomatic nodule of the thyroid at the left lobe, measuring 2.3 x 1.5 cm in diameter without regional lymphadenopathy. At surgical exploration it was seen an absence of the thyroid isthmus. CONCLUSION: Thyroid isthmus agenesis does not cause clinical symptoms by itself and most of the times the diagnosis is incidental due to the existence of other thyroid pathology.