Persistent perioperative tachycardia and hypertension diagnosed as thyroid storm induced by a hydatidiform mole: a case report
Thyroid storm is a critical complication of molar pregnancy. However, early diagnosis of it is difficult because it is a rare complication and usually presents nonspecific findings. In this case report, we present a woman with molar pregnancy who had persistent tachycardia and hypertension. She was...
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| Format: | Article |
| Language: | English |
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Korean Society of Anesthesiologists
2014-09-01
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| Series: | Korean Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://ekja.org/upload/pdf/kjae-67-205.pdf |
| _version_ | 1818934646315941888 |
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| author | Wonjung Hwang Daehwan Im Eunsung Kim |
| author_facet | Wonjung Hwang Daehwan Im Eunsung Kim |
| author_sort | Wonjung Hwang |
| collection | DOAJ |
| description | Thyroid storm is a critical complication of molar pregnancy. However, early diagnosis of it is difficult because it is a rare complication and usually presents nonspecific findings. In this case report, we present a woman with molar pregnancy who had persistent tachycardia and hypertension. She was diagnosed initially with preeclampsia and sepsis as complications of molar pregnancy. During dilation and curettage under general anesthesia with sevoflurane and remifentanil, tachycardia and hypertension remained even with continuous infusion of labetalol. The patient was subsequently diagnosed with thyroid storm associated with molar pregnancy. She was restored to a clinically euthyroid state 1 day after the operation, and her thyroid function test and β-hCG values were normal 3 months later. The anesthesiologists should bear in mind the possibility of thyroid storm in patients with molar pregnancies who show persistent tachycardia and hypertension. |
| first_indexed | 2024-12-20T05:07:35Z |
| format | Article |
| id | doaj.art-221f2da14d2b4d78ad430ee73ce260c0 |
| institution | Directory Open Access Journal |
| issn | 2005-6419 2005-7563 |
| language | English |
| last_indexed | 2024-12-20T05:07:35Z |
| publishDate | 2014-09-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Korean Journal of Anesthesiology |
| spelling | doaj.art-221f2da14d2b4d78ad430ee73ce260c02022-12-21T19:52:20ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632014-09-0167320520810.4097/kjae.2014.67.3.2057919Persistent perioperative tachycardia and hypertension diagnosed as thyroid storm induced by a hydatidiform mole: a case reportWonjung Hwang0Daehwan Im1Eunsung Kim2Department of Anesthesiology and Pain Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.Thyroid storm is a critical complication of molar pregnancy. However, early diagnosis of it is difficult because it is a rare complication and usually presents nonspecific findings. In this case report, we present a woman with molar pregnancy who had persistent tachycardia and hypertension. She was diagnosed initially with preeclampsia and sepsis as complications of molar pregnancy. During dilation and curettage under general anesthesia with sevoflurane and remifentanil, tachycardia and hypertension remained even with continuous infusion of labetalol. The patient was subsequently diagnosed with thyroid storm associated with molar pregnancy. She was restored to a clinically euthyroid state 1 day after the operation, and her thyroid function test and β-hCG values were normal 3 months later. The anesthesiologists should bear in mind the possibility of thyroid storm in patients with molar pregnancies who show persistent tachycardia and hypertension.http://ekja.org/upload/pdf/kjae-67-205.pdfhydatidiform molethyroid crisis |
| spellingShingle | Wonjung Hwang Daehwan Im Eunsung Kim Persistent perioperative tachycardia and hypertension diagnosed as thyroid storm induced by a hydatidiform mole: a case report Korean Journal of Anesthesiology hydatidiform mole thyroid crisis |
| title | Persistent perioperative tachycardia and hypertension diagnosed as thyroid storm induced by a hydatidiform mole: a case report |
| title_full | Persistent perioperative tachycardia and hypertension diagnosed as thyroid storm induced by a hydatidiform mole: a case report |
| title_fullStr | Persistent perioperative tachycardia and hypertension diagnosed as thyroid storm induced by a hydatidiform mole: a case report |
| title_full_unstemmed | Persistent perioperative tachycardia and hypertension diagnosed as thyroid storm induced by a hydatidiform mole: a case report |
| title_short | Persistent perioperative tachycardia and hypertension diagnosed as thyroid storm induced by a hydatidiform mole: a case report |
| title_sort | persistent perioperative tachycardia and hypertension diagnosed as thyroid storm induced by a hydatidiform mole a case report |
| topic | hydatidiform mole thyroid crisis |
| url | http://ekja.org/upload/pdf/kjae-67-205.pdf |
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