A Case of T3 Thyrotoxicosis developed after Cesarean Section.

Sung, Young Mo; Yoon, Sang Soon; Koo, Mi Kyung; Hwang, Jung Hye; Park, Moon Il; Chung, Sung Ro; Hwang, Yoon Young; Moon, Hyung; Lee, Jae Ung; Ahn, You Hern

Case Report

Korean Journal of Obstetrics & Gynecology 2001;44(10):1913-1917.
Published online October 1, 2001.

A Case of T3 Thyrotoxicosis developed after Cesarean Section.

Young Mo Sung, Sang Soon Yoon, Mi Kyung Koo, Jung Hye Hwang, Moon Il Park, Sung Ro Chung, Yoon Young Hwang, Hyung Moon, Jae Ung Lee, You Hern Ahn

Department of Obstetrics and Gynecology, Internal Medicine, Hanyang University, Seoul, Korea.

Abstract

Thyroid storm (thyrotoxicosis) is rarely encountered during pregnancy or the puerperium, even in untreated women and characterized by hypertension, hyperthermia, and multiple systems involvement. Much more common is heart failure, apparently caused by the long-term myocardial effects of thyroid hormone and intensified by other pregnancy complications that include severe preeclampsia, infection, anemia, or combinations of these. Prompt diagnosis and treatment of thyroid storm are essential in reducing morbidity and mortality of a patient from this disorder. We experienced a case of triiodothyroxine induced thyroid storm (T3 thyrotoxicosis) developed after Cesarean section. This case highlights both physicians should be aware of the symptoms and risk factors and reversing of heart failure successfully by reducing cardiac workload is important through immediate medical treatment - adequate hydration, thermoregulation, and control of hypertension, infection and anemia et al.

Key Words: T3 thyrotoxicosis, Graves disease, Cesarean section