J Korean Soc Radiol.  2021 Sep;82(5):1328-1333. 10.3348/jksr.2020.0213.

Shock Thyroid in a Patient with Septic Shock: A Case Report and Literature Review

Affiliations
  • 1Departments of Radiology, Inha University Hospital, Inha University College of Medicine, Incheon, Korea
  • 2Department of Radiology, Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea
  • 3Departments of Hospital Medicine, Inha University Hospital, Inha University College of Medicine, Incheon, Korea

Abstract

Shock thyroid is a rare manifestation of the CT hypotension complex and can be diagnosed when thyroid and perithyroidal edemas are observed on CT during the onset of shock. Shock thyroid can be a useful CT sign for decompensated shock. This condition is reversible and recovers rapidly with adequate treatment. We present the case of an 84-year-old female with septic shock, exhibiting CT features consistent with a shock thyroid. We also reviewed the clinical and radiological findings reported in the literature. The present case emphasizes that shock thyroid can be an early indicator of impending hemodynamic instability and has important prognostic and therapeutic implications.

Keyword

Thyroid; Septic Shock; Hypotension; Multidetector Computed Tomography
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