[Hyperthyroidism as a rare cause of "false acute abdomen"]

Area of Science:

• Endocrinology
• Gastroenterology
• Surgical Diagnosis

Background:

• Hyperthyroidism is a condition involving overactive thyroid gland.
• Acute abdomen is a medical emergency requiring prompt diagnosis.
• The presentation of hyperthyroidism mimicking acute abdomen is rare.

Observation:

• Four patients with hyperthyroidism presented with symptoms suggestive of acute abdomen.
• Clinical presentation included severe abdominal pain and tenderness.
• Diagnostic challenges were encountered due to the unusual presentation.

Findings:

• The association between hyperthyroidism and false acute abdomen is infrequently reported.
• Delayed diagnosis can result in unnecessary surgical interventions like laparotomy.
• Thyroid dysfunction should be considered in the differential diagnosis of acute abdomen.

Implications:

• Implementing thyroid function tests in patients with unexplained acute abdomen can prevent misdiagnosis.
• Early identification of hyperthyroidism in such cases can avert unnecessary surgeries.
• This highlights the importance of a comprehensive diagnostic approach in emergency medicine.