Medicine · 2025
Laparoscopic salvage in a storm: A multidisciplinary case report of thyroid storm complicated by gastrointestinal perforation.
СтатьяКлинический случайНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Ye Ling, Zhang Weiqiao
Аннотация
RATIONALE: Thyroid storm (TS) is a critical endocrine emergency characterized by multiorgan failure. Although rare, gastrointestinal perforation is a catastrophic complication that frequently leads to diagnostic delays and poor prognosis. This case provides valuable clinical insights based on a multidisciplinary strategy and well-considered surgical timing.
PATIENT CONCERNS: A 22-year-old male with poorly controlled hyperthyroidism presented with acute abdominal pain, fever, and altered mental status.
DIAGNOSES: He was diagnosed with TS based on clinical scoring (Burch-Wartofsky Point Scale) and laboratory markers. Imaging confirmed gastrointestinal perforation.
INTERVENTIONS: A multidisciplinary team initiated immediate medical stabilization using beta-blockers, antithyroid drugs, corticosteroids, and supportive care. Definitive treatment with laparoscopic repair was performed after clinical optimization under tailored anesthesia.
OUTCOMES: The patient achieved complete recovery and was discharged on postoperative day 10, with normalization of thyroid and inflammatory markers.
LESSONS: This case emphasizes the importance of suspecting TS in acute abdomen cases with hyperthyroid history; that cautious surgical delay may be justified to optimize outcomes in TS; and that minimally invasive surgery combined with individualized anesthesia is feasible in this high-risk population.
PATIENT CONCERNS: A 22-year-old male with poorly controlled hyperthyroidism presented with acute abdominal pain, fever, and altered mental status.
DIAGNOSES: He was diagnosed with TS based on clinical scoring (Burch-Wartofsky Point Scale) and laboratory markers. Imaging confirmed gastrointestinal perforation.
INTERVENTIONS: A multidisciplinary team initiated immediate medical stabilization using beta-blockers, antithyroid drugs, corticosteroids, and supportive care. Definitive treatment with laparoscopic repair was performed after clinical optimization under tailored anesthesia.
OUTCOMES: The patient achieved complete recovery and was discharged on postoperative day 10, with normalization of thyroid and inflammatory markers.
LESSONS: This case emphasizes the importance of suspecting TS in acute abdomen cases with hyperthyroid history; that cautious surgical delay may be justified to optimize outcomes in TS; and that minimally invasive surgery combined with individualized anesthesia is feasible in this high-risk population.