Anaesthesia for emergency exploratory Laparotomy in a Patient with undiagnosed Thyrotoxicosis: A Case Report

Authors

  • Eze Onyegbule Okubuiro Marina Specialist Hospital, Port Harcourt, Nigeria.
  • Chinwe Edith Okoli Federal Medical Centre, Umuahia, Nigeria

DOI:

https://doi.org/10.21276/apjhs.2018.5.4.21

Keywords:

Anaesthesia, emergency, laparotomy, thyrotoxicosis, ectopic-pregnancy

Abstract

OF, a 25-year-old female with a history of 3 previous unsuccessful pregnancies was referred from a peripheral hospital with a diagnosis of ectopic gestation. She had a thyroid swelling. Initial pulse rate and blood pressure were 168 beats per minute and 130/90 mmHg respectively. She was premedicated with oral atenolol 100 mg on suspicion of undiagnosed thyrotoxicosis and pulse rate and blood pressure dropped to 110 beats per minute and 100/60 mmHg respectively. A right salpingectomy was carried out under endotracheal anaesthesia with muscle relaxation.A thyroid function test done postoperatively revealed a raised T3 and T4 with reduced thyroid stimulating hormone (TSH). She had a successful recovery and was discharged home. Issues and anaesthetic management challenges specific to patients with undiagnosed thyrotoxicosis coming for emergency surgery are discussed.

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Author Biographies

Eze Onyegbule Okubuiro, Marina Specialist Hospital, Port Harcourt, Nigeria.

FWACS, FHEA (UK), Consultant Anaesthetist

Chinwe Edith Okoli, Federal Medical Centre, Umuahia, Nigeria

Consultant Anaesthetist

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Published

2018-12-30

How to Cite

Eze Onyegbule Okubuiro, & Chinwe Edith Okoli. (2018). Anaesthesia for emergency exploratory Laparotomy in a Patient with undiagnosed Thyrotoxicosis: A Case Report. Asian Pacific Journal of Health Sciences, 5(4), 136–142. https://doi.org/10.21276/apjhs.2018.5.4.21