甲状腺风暴
妊娠滋养细胞疾病
怀孕
医学
甲状腺
格雷夫斯病
外科
产科
妊娠期
麻醉
内科学
遗传学
生物
作者
John A. Hodgson,Benjamin P Pittman,James B Solomon,Ahmed Elrefai,Benjamin M. Kristobak
出处
期刊:A&A practice
[Ovid Technologies (Wolters Kluwer)]
日期:2021-06-25
卷期号:15 (7): e01495-e01495
被引量:1
标识
DOI:10.1213/xaa.0000000000001495
摘要
Gestational trophoblastic disease can lead to excess thyroid hormone release and rarely, thyroid storm. We present a case of complete molar pregnancy with hyperthyroidism that was not identified or treated before surgical evacuation of uterine contents. Untreated hyperthyroidism preoperatively led to unanticipated thyroid storm immediately after emergence from anesthesia. It is important for anesthesia providers to recognize the link between gestational trophoblastic disease and thyrotoxicosis, and appreciate the severe consequences than can occur if left untreated. Anesthesia providers should strongly consider preoperative consultation and treatment. Being prepared to treat intraoperative symptoms and thyroid storm is paramount.
科研通智能强力驱动
Strongly Powered by AbleSci AI