[Intrathoracic goiters]

True intrathoracic goitres without any connexion with the cervical gland are rare. They present as tumours of the upper mediastinum. Mediastinal CT scan is the investigation of choice. Treatment is exclusively surgical because of the risk of mediastinal compression. In this report we describe a case of goitre which was diagnosed fortuitously in a 45 years old patient. Treatment was surgical with a left anterolateral thoracotomy