Anesthetic management of thyrotoxicosis in gestational trophoblastic disease - case report

Authors

DOI:

https://doi.org/10.25751/rspa.25814

Keywords:

Thyrotoxicosis, Gestational Trophoblastic Disease, Hydatidiform mole, Anesthesia

Abstract

Gestational trophoblastic disease is associated with biochemical and clinical hyperthyroidism. Assessment of thyroid function in patients with this disease is important, as submitting patients in a hyperthyroid state to anesthetic techniques is associated with a higher rate of complications. Pre-operative optimization using β-blockers, anti-thyroid medication or steroids prior to induction of anesthesia is recommended. The anesthesiologist must be alert to the occurrence of this possibility, to better anticipate and manage this type of situation.

We report the intra and post-operative anesthetic management of unexpected thyrotoxicosis in the context of a patient requiring emergency molar evacuation.

Downloads

References

- Khanna P, Kumar A, Dehran M. Gestational trophoblastic disease with hyperthyroidism: Anesthetic management. J Obstet Anaesth Crit Care 2012; 2:31-3.

- Bhat S, Maletkovic J. A Hydatidiform Mole Can Cause Severe Gestational Hyperthyroidism. Clin Thyroidol 2013; 25:298-300.

- Filipescu GA, Solomon OA. Molar pregnancy and thyroid storm – literature review. ARS Medica Tomitana 2017; 3(23): 121-5.

- Almeida CED, Curi EF. Crise Tireotóxica Associada à Doença Trofoblástica Gestacional. Revista Brasileira de Anestesiologia 2011; volume 61, no 5.

- Kurdi MS. Trophoblastic Hyperthyroidism and Its Perioperative Concerns. Thyroid Disorders – Focus on Hyperthyroidism e-book. 2014, p 243-69.

- Swaminathan S, James RA, Joshi R. Anaesthetic Implications of Severe Hyperthyroidism Secondary to Molar Pregnancy: A Case Report and Review of Literature. Anesth Essays Res. 2017 11(4): 1115–7.

- Erol DD, Cevryoglu AS, Uslan I. Preoperative preparation and general anaesthesia administration with Sevoflurane in a patient who develops thyrotoxicosis and cardiogenic dysfunction due to a hydatidiform mole. Internet J Anesthesiol 2004;8.

- Chandra A, Thakur V, Duggal R, Pawar S. Hydatiform mole and its anesthetic implications. Med J DY Patil Univ 2015;8:841-2.

Downloads

Published

2022-06-30

How to Cite

Afonso Queijo, J. C. de, Alves, A., Gonçalves, L., & Moleirinho, C. (2022). Anesthetic management of thyrotoxicosis in gestational trophoblastic disease - case report . Journal of the Portuguese Society of Anesthesiology, 31(2). https://doi.org/10.25751/rspa.25814

Issue

Vol. 31 No. 2 (2022): Revista da Sociedade Portuguesa de Anestesiologia

Section

Case Report

License

Copyright (c) 2022 Joana Catarina de Afonso Queijo, Ana Alves, Lúcia Gonçalves, Carla Moleirinho

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Articles are freely available to be read, downloaded and shared from the time of publication.

The RSPA reserves the right to commercialize the article as an integral part of the journal (in the preparation of reprints, for example). The author should accompany the submission letter with a declaration of copyright transfer for commercial purposes.

Articles are published under the terms of the Creative Commons Attribution Non-Commercial License (CC BY-NC).

After publication in RSPA, authors are allowed to make their articles available in repositories of their home institutions, as long as they always mention where they were published.