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Updated: Dec 18, 2025

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Myxedema ascites complicated by ischemic colitis.
Sana Riaz1, Pujitha Kudaravalli1, Michelle Bernshteyn1
1Department of Internal Medicine, SUNY Upstate Medical University, 750 E. Adams Street, Syracuse, NY 13210, USA.
Myxedema ascites, a rare sign of hypothyroidism, can be fully resolved with prompt levothyroxine treatment. This case highlights the importance of early diagnosis and management of this condition.
Area of Science:
- Endocrinology
- Gastroenterology
Background:
- Myxedema ascites is a rare manifestation of primary hypothyroidism.
- Delayed diagnosis of hypothyroidism can lead to severe complications.
Observation:
- A case of myxedema ascites in an elderly female is presented.
- The patient also developed ischemic colitis, a previously unreported complication.
Findings:
- Prompt treatment with levothyroxine led to complete resolution of myxedema ascites.
- Ischemic colitis was observed concurrently with myxedema ascites.
Implications:
- Early diagnosis and management of hypothyroidism are crucial for preventing severe outcomes.
- This case broadens the understanding of potential complications associated with myxedema ascites.
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