Abstract

PERI-OPERATIVE CONCERNS IN A PATIENT WITH THYROID STORM SECONDARY TO MOLAR PREGNANCY

*Dr. S. Selvamani and Dr. A. Mohammed Sadiq Basha

Abstract

Hydatidiform mole results from abnormal trophoblastic proliferation. Incidence in India is 1:400.[1] The New England Trophoblastic Disease Centre has not reported even one case of trophoblastic hyperthyroidism from 1988 to 1993. Biochemical hyperthyroidism has been reported by Walkington et al. in 7% of patients treated with chemotherapy for gestational trophoblastic neoplasia between January 2005 and January 2010 in United Kingdom.[2] However in a developing country like India, we still encounter such cases due to ethnic differences and delayed presentation at the ante natal clinics which leads to detection at a later stage when levels of β human chorionic gonadotropin (HCG) are high. Thus, it is of utmost importance to be aware of this endocrine emergency. Clinical presentation of hyperthyroidism namely, tachycardia and heat intolerance can be attributed to hypermetabolism of pregnancy and thus missed out.

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