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Colonic Perforation: A Medical Complication.

Christopher Parsons¹, Elizabeth Chan¹, Richard P T Evans¹

¹Wye Valley NHS Trust, Hereford, United Kingdom.

Prague Medical Report

|September 19, 2017

Summary

Hypothyroidism, a common comorbidity, is often missed during acute illness. Patient non-compliance with thyroid hormone replacement therapy can lead to severe complications, as illustrated by a case requiring emergency surgery.

Keywords:

Constipation Hartmann’s procedure Hypothyroidism Sigmoid perforation Thyroid

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Area of Science:

Endocrinology
Surgical Complications
Patient Adherence

Background:

Hypothyroidism is a frequently encountered endocrine disorder.
Acute presentations of hypothyroidism are often overlooked in clinical settings.
Thyroid hormone replacement therapy is crucial for managing hypothyroidism and preventing complications.

Observation:

A patient with hypothyroidism required emergency surgery.
The surgical intervention led to the formation of a stoma.
The case highlights the critical role of patient decision-making in medication adherence.

Findings:

Non-compliance with hypothyroidism treatment can precipitate severe health issues.
Emergency surgery and subsequent stoma formation were linked to medication non-adherence.
Patient's decision-making process significantly impacts chronic disease management.

Implications:

Integrating patient decision-making into chronic disease management is essential.
Improved strategies for medication adherence in hypothyroidism are needed.
This case underscores the importance of addressing patient adherence to prevent surgical emergencies.