A Case of Thyrotoxic Storm Triggered by Virgorous Palpation of Thyroid Gland After Delivery.
- Author:
Sung Jin CHUNG
1
;
Jung Hye HWANG
;
Yong Soo PARK
;
Dong Sun KIM
;
Joon Soo HAHM
;
Tae Wha KIM
;
You Hern AHN
Author Information
1. Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Thyrotoxic storm;
Vigorous palpation
- MeSH:
Adult;
Cesarean Section;
Female;
Heart Failure;
Humans;
Hyperthyroidism;
Metrorrhagia;
Mortality;
Palpation*;
Placenta Previa;
Pre-Eclampsia;
Pregnancy;
Pregnant Women;
Thyroid Crisis*;
Thyroid Gland*
- From:Korean Journal of Obstetrics and Gynecology
2004;47(2):398-400
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Although the mortality has been reduced with aggressive approach, thyrotoxic storm or crisis is still a life-threatening condition and usually triggered by preeclampsia, placenta previa, congestive heart failure, infections and induction of labor during pregnancy. We report here a 28-year-old pregnant woman suspicious of placenta previa without a previous history of hyperthyroidism was admitted to the hospital with vaginal spotting and labor. After receiving a Cesarean section, thyrotoxic manifestations were developed and she became stable with antithyroid therapy. The second attack of thyrotoxic storm was presented after a thyroid ultrasonographic study. It appears that the vigorous examination of thyroid gland carries a significant risk of thyrotoxic crisis in poorly controlled hyperthyroidism.
