TY - JOUR AU - Eze Onyegbule Okubuiro, AU - Chinwe Edith Okoli, PY - 2018/12/30 Y2 - 2024/03/28 TI - Anaesthesia for emergency exploratory Laparotomy in a Patient with undiagnosed Thyrotoxicosis: A Case Report JF - Asian Pacific Journal of Health Sciences JA - APJHS VL - 5 IS - 4 SE - Table of Contents DO - 10.21276/apjhs.2018.5.4.21 UR - https://www.apjhs.com/index.php/apjhs/article/view/324 SP - 136-142 AB - <p>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.</p> ER -