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Thyrotoxicosis Presenting as an Acute Abdomen.
Samantha Woolery1, Mari Freedberg2, Jason D Sciarretta3
1Morehouse School of Medicine, Atlanta, GA, USA.
The American Surgeon
|June 3, 2024
Summary
Thyrotoxicosis can mimic surgical emergencies like peritonitis, presenting with concerning signs such as portal venous gas. This rare case highlights the importance of considering non-surgical causes for acute abdominal pain.
Area of Science:
- Gastroenterology
- Endocrinology
- Emergency Medicine
Background:
- Abdominal pain is a frequent emergency department presentation.
- Portal venous gas on imaging often indicates a need for surgical intervention due to potential intra-abdominal pathology.
Observation:
- A patient presented with peritonitis signs and portal venous gas on CT scan.
- Emergency surgery revealed no intra-abdominal pathology.
Findings:
- The patient was diagnosed with thyrotoxicosis.
- Thyrotoxicosis was the presumed cause of the acute abdomen presentation.
Implications:
- This case underscores the importance of considering thyrotoxicosis in patients with acute abdomen and negative surgical findings.
- Delayed diagnosis of thyrotoxicosis can lead to significant morbidity and mortality.
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