Thyrotoxicosis complicated by ectopic pregnancy. First reported case

The reported incidence of thyrotoxicosis during pregnancy ranges from 0.02% to 3.7%, with an average of 0.2%. Ectopic pregnancy occurs in 1 of 66 pregnancies in the United States. The signs and symptoms of thyrotoxicosis complicate the diagnosis and surgical management of an ectopic pregnancy. This is the first reported case of thyrotoxicosis complicated by an ectopic pregnancy. The patient presented with a surgical abdomen (in this case an ectopic pregnancy) coupled with thyrotoxicosis. The combination of prompt presurgical medical intervention and operative correction prevented the mortality associated with a ruptured tubal pregnancy and thyroid storm.