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Hyperthyroidism with Peritoneal Serositis Leading to Small Bowel Obstruction: A Case Report
Ali Al Sharqi1, Ruqaiya Al Shehhi2, Miaad Al Hinai1
1General Surgery Residency Training Program, Oman Medical Specialty Board, Muscat, Oman.
Small bowel obstruction is rare in patients with no prior abdominal surgery, particularly when linked to endocrine disorders. This case highlights a rare presentation of small bowel obstruction in a young woman with uncontrolled Graves disease following thyroid storm.
Area of Science:
- Endocrinology
- Gastroenterology
- Surgical Case Reports
Background:
- Small bowel obstruction (SBO) in a virgin abdomen is uncommon.
- Endocrinopathies can present with complex gastrointestinal symptoms.
- Graves' disease is an autoimmune disorder affecting the thyroid gland.
Observation:
- A young woman with a history of uncontrolled Graves' disease presented with symptoms of SBO.
- The patient had a virgin abdomen, meaning no prior abdominal surgeries.
- The SBO occurred a few weeks after experiencing a thyroid storm.
Findings:
- The case illustrates a rare instance of SBO in the absence of previous abdominal surgery.
- Uncontrolled Graves' disease and its complications, such as thyroid storm, may be associated with SBO.
- Diagnostic challenges in SBO are amplified by concurrent endocrinopathies.
Implications:
- This case underscores the importance of considering SBO in patients with severe, uncontrolled endocrine disorders.
- Physicians should maintain a high index of suspicion for SBO in patients with virgin abdomens and unexplained abdominal symptoms.
- Further research may elucidate the pathophysiological links between Graves' disease and SBO.
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