We report a case of a 40-year-old multiparous woman who underwent total abdominal hysterectomy due to massivevaginal bleeding from partial molar pregnancy. Post-operatively, she developed high-grade fever, profuse sweating andshortness of breath. Examination revealed tachycardia, hypertension, elevated jugular venous pressure, and crackleson both lower lung fields, with no palpable thyroid mass. Free thyroxine (FT4) and human chorionic gonadotropinβ-subunit(β-hCG) were markedly elevated, while thyroid stimulating hormone (TSH) was significantly suppressed. With a Burch and Wartofskyscore of 55, thyroid storm from the molar pregnancy was considered. She was givenpropylthiouracil (PTU), propranolol and hydrocortisone. Resolution of her signs and symptoms were noted 2 to 3 daysfollowing treatment.
Thyroid Crisis ; Pregnancy ; Hydatidiform Mole ; Hyperthyroidism