J Korean Soc Endocrinol.  2002 Aug;17(4):589-595.

A Case of Thyroid Storm Developed after Dilatation and Curettage for Invasive Molar Pregnancy

• Park JS
• Kang JG
• Lee CB
• Park YS
• Kim DS
• Kim TW
• Hahm JS
• Lee JH
• Hwang JH
• Kim SR
• Ahn YH

Abstract

Thyroid dysfunction is one of the more prevalent clinical situations encountered by primary care physicians. Thyroid storm is defined as a life-threatening exacerbation of the hyperthyroid state in which there is evidence of decompensation of one or more organ systems. Common precipitants include infection, surgery, diabetic ketoacidosis, vascular accidents, non-compliance with antithyroid medication, and emotional stress, but rarely develop in invasive molar pregnancy. An 18-year-old woman presented to the emergency department complaining of lower abdominal pain and vaginal spotting. She had no previous history of hyperthyroidism. Under the diagnosis of invasive molar pregnancy, dilatation and curettage was performed. However, right after the procedure the patient developed a semi-coma metal status, high grade fever, and tachycardia. Prompt diagnosis of thyroid storm was made and treatment followed immediately. We present a case of thyroid storm and a review of thyroid storm precipitated by invasive molar pregnancy.

MeSH Terms

Abdominal Pain
Adolescent
Diabetic Ketoacidosis
Diagnosis
Dilatation and Curettage*
Dilatation*
Emergency Service, Hospital
Female
Fever
Humans
Hydatidiform Mole*
Hyperthyroidism
Metrorrhagia
Molar*
Physicians, Primary Care
Pregnancy
Stress, Psychological
Tachycardia
Thyroid Crisis*
Thyroid Gland*