We report a 35 years old female with left lobe thyroid hemiagenesis who ini
tially was euthyroid and then developed hyperthyroidism due to Graves disea
se. Hemiagenesis of the thyroid gland is a rare anomaly with an uncertain i
ncidence; up to now 256 cases have been reported. The detection is often ma
de by either clinical symptoms of thyroid dysfunction, by imaginological st
udies or surgical/pathological procedures. No explanation has been given fo
r the development of this anomaly; left lobe aplasia and predominance of oc
currence in women have been most frequently reported.