A pregnant patient developed thyroid storm at 29 weeks of gestation, which led to pre-term delivery, cardiac failure, and ultimately required a thyroidectomy.
Case Report (n=1)
Thyroid storm in pregnancy can lead to severe complications including cardiac failure, necessitating prompt diagnosis and management such as thyroidectomy.
Thyroid storm is a rare and serious complication of pregnancy which can lead to spontaneous abortion, preterm delivery, preeclampsia and cardiac failure. It is also associated with high maternal and foetal mortality if not diagnosed and managed promptly. The diagnosis of thyroid storm in pregnancy can pose significant challenges due to its presentation being similar to other pregnancy-related complications. We present a patient who developed thyroid storm at 29 weeks of pregnancy, which resulted in pre-term delivery, cardiac failure and thyroidectomy. We discuss the treatment of thyroid storm in pregnancy, the decision making involved in proceeding to thyroidectomy or to use radio-iodine, and foetal thyroid status in thyrotoxicosis.
Lane et al. (2014) conducted a case report in Thyroid storm in pregnancy (n=1). Thyroid storm was evaluated on Clinical course and complications. A pregnant patient developed thyroid storm at 29 weeks of gestation, which led to pre-term delivery, cardiac failure, and ultimately required a thyroidectomy.