srjmcrSRJMCRSRJMCR2788-9548https://doi.org/10.47310/srjmcr.2021.v01i01.003Emergency Surgical Tracheal Decompression For Giant Goiter Revealing Co-Existence Of Heart Failure And CopdTogoSBazongoMOuattaraM.ACisséMACOuologuemN. SidibéAOmbotimbéAMaïgaI.BMaïgaA.ACoulibalySKoitaM.STraoréMMDakouoJSadioYMultinodular goiter is a common disease whose prevalence increases in subsaharan Africa. Compressive goiter, heart failure (HF) and chronic obstructive pulmonary disease (COPD) are both common causes of breathlessness. Clinical presentation of those diseases can be very similar, but the treatment and prognostic implications are very different. In the evidence of compressive goiter, making diagnosis of the coexisting HF and COPD can be difficult especialy in a developing country. This case discusses the diagnostic challenge in a 26 years’ woman with compressive giant goiter, COPD and HF. We highlight the clinical relevance, and therapeutics aspects.