A rare case of thyroid storm following caesarean section

Authors

  • Sanjay Singh Department of Obstetrics & Gynaecology, Armed Forces Medical College, Pune, Maharashtra, India
  • Manash Biswas Department of Obstetrics & Gynaecology, Armed Forces Medical College, Pune, Maharashtra, India
  • Tony Jose Department of Obstetrics & Gynaecology, Armed Forces Medical College, Pune, Maharashtra, India
  • Madhusudan Dey Department of Obstetrics & Gynaecology, Armed Forces Medical College, Pune, Maharashtra, India
  • Monica Saraswat Department of Obstetrics & Gynaecology, Armed Forces Medical College, Pune, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20160617

Keywords:

Thyroid storm, Thyrotoxic crisis, Pregnancy, Hyperthyroidism, Preeclampsia

Abstract

Thyroid storm in pregnancy is a rare life threatening emergency, with very high maternal and perinatal mortality and morbidity. Here we present an unusual case of a 30 year-old G2P1L1 woman, a known case of post caesarean pregnancy with hyperthyroidism who presented with severe preeclampsia and on second post op day developed thyroid storm. Early recognition and timely institution of appropriate management resulted in good outcome in this case.

References

Tietgens ST, Leinung MC. Thyroid storm. Med Clin North Am. 1995;79:169-84.

Davis LE, Lucas MJ, Hanklins GDV. Thyrotoxicosis complicating pregnancy. Am J Obstet Gynecol. 1989;160:63-70.

Nayak B, Burman K. Thyrotoxicosis and thyroid storm. Endocrinol Metab Clin North Am. 2006;35:663-86.

Sarlis JN, Gourgiotis. Thyroid Emergencies. Rev End Metab Dis. 2003;4:129-36.

Marx H, Amin P, Lazarus JH. Hyperthyroidism and pregnancy. BMJ. 2008;336:663-7.

Kriplani JL, Buckshee K, Bhargava VL. Maternal and perinatal outcome in thyrotoxicosis complicating pregnancy.Eur J Obstet gynecol Reprod Biol. 1994;54:159.

Bahn RS, Burch HB, Cooper DS. Hyperthyroidism Management Guidelines, Endocr Pract. 2011;17(3).

Abalovich M, Amino N, Barbour L, et al. Management of thyroid dysfunction during and after pregnancy. An endocrine society clinical practice guideline. J Clin Endocrinol Metab. 2007;92(8):S1-47.

Burch HB, Wartofsky L. Life-threatening hyperthyroid¬ism: Thyroid storm. Endocrinol Metab Clin North Am. 1993;22:263-77.

Fitzpatrick D, Russel M. Diagnosis and management of thyroid disesase in pregnancy. Obstete Gynecol Clin North Am. 2010;37:173.

Cunningham FG, Leveno KJ, Bloom SL. Endocrine disorders. In: Williams Obstetrics 24th edition. Mc Graw Hill. 2014:1147-52.

Downloads

Published

2017-02-23

Issue

Section

Case Reports