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Canadian Journal of Anesthesia, Vol 35, 74-75, Copyright © 1988 by Canadian Anesthesiologists' Society

ARTICLES

Acute hypothyroidism in a severely ill surgical patient

T Mogensen and NC Hjortso
Department of Anaesthesiology, University of Copenhagen, Hvidovre Hospital, Denmark.

A case of acute postoperative hypothyroidism in a 62-year old woman is presented. One month before emergency admission because of a perforated gastric ulcer the patient had normal thyroid function, despite removal of a thyroid adenoma 20 years earlier. Following surgery the patient developed circulatory instability, renal insufficiency, hypothermia and immeasurable concentrations of thyroxine (T4) and triiodothyronine (T3). Treatment with triiodothyronine was commenced but the patient died following an episode of severe hypotension.




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Copyright © 1988 by the Canadian Anesthesiologists' Society.