A Case of Thyroid Storm With Fatal Outcome due to Liver Failure

We conducted an autopsy on a patient who succumbed to thyroid storm complicated by liver failure. As autopsies of thyroid storm are rare, we present the findings of the autopsy. A 70-year-old female patient who developed rapid onset acute liver failure passed away on the 15th day of hospitalization due to a thyroid storm. As in previously reported cases, lobular central necrosis of the liver was a predominant feature, and fibrosis was also seen. In this case, acute cardiac failure seemed to play a significant role as a cause of the liver failure. It may be crucial to prevent heart failure (HF), leading to hepatic ischemia before liver fibrosis develops.