Primary hypothyroidism is a common clinical condition in which serous effusions are rare. Isolated cases have been reported in literature about presence of ascites, pleural effusion, pericardial effusion or combination of any two. But combination of all three is extremely rare. We hereby report a case of multiple body cavity effusions (ascites, pleural and pericardial effusions) and tissue edema (pedal and facial) in a hypothyroid male. He responded well to thyroid hormone replacement therapy.

Squamous cell carcinomas of the base of the tongue are diagnosed often at advanced stages, especially in patients with a history of smoking and alcoholism. Metastasis of carcinoma of tongue has been described in liver, lung, bone, brain, skin, eye, soft tissue, skeletal muscle, and percutaneous endoscopic gastrostomy sites, other than cervical and axillary lymph nodes. Metastasis has also been reported after surgical treatment and radiotherapy. Obstructive jaundice in carcinoma tongue due to metastatic retroperitoneal lymph node has not been reported in literature. We report a case of obstructive jaundice due to retroperitoneal lymph node mass obstructing biliary system in a case of carcinoma base of tongue.