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Urgent surgery in a poorly controlled hyperthyroid patient
Author(s) -
Hishani Imalka Perera,
Dharshini Selvapalan,
Anuja Abayadeera
Publication year - 2020
Publication title -
sri lankan journal of anaesthesiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.145
H-Index - 4
eISSN - 2279-1965
pISSN - 1391-8834
DOI - 10.4038/slja.v28i2.8536
Subject(s) - thyroid storm , medicine , antithyroid drugs , emergency surgery , thyroid , disease , thyroid carcinoma , gastrectomy , surgery , general surgery , graves' disease , pediatrics , cancer
Hyperthyroidism is a multisystemic disease with its main effects on the cardiovascular system. It is better to control thyroid hormone excess before surgery to avoid the risk of precipitating thyroid storm. This won’t be practical in emergency or urgent surgeries. This is a case history of a 50 year old man with uncontrolled hyperthyroidism who underwent a gastrectomy for a carcinoma. Hyperthyroidism was managed with antithyroid drugs, beta blockers, glucocorticoids and magnesium sulphate.

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