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Fetal Death Due To Upper Airway Compromise Complicated by Thyroid Storm in a Mother With Uncontrolled Graves' Disease: a Case Report

dc.authorscopusid 24462873600
dc.authorscopusid 24461835200
dc.authorscopusid 24597277200
dc.authorscopusid 8260456000
dc.contributor.author Yildizhan, R.
dc.contributor.author Kurdoglu, M.
dc.contributor.author Adali, E.
dc.contributor.author Kolusari, A.
dc.date.accessioned 2025-05-10T17:06:46Z
dc.date.available 2025-05-10T17:06:46Z
dc.date.issued 2009
dc.department T.C. Van Yüzüncü Yıl Üniversitesi en_US
dc.department-temp Yildizhan R., Department of Obstetrics and Gynecology, Yuzuncu Yil University School of Medicine, Van, Turkey; Kurdoglu M., Department of Obstetrics and Gynecology, Yuzuncu Yil University School of Medicine, Van, Turkey; Adali E., Department of Obstetrics and Gynecology, Yuzuncu Yil University School of Medicine, Van, Turkey; Kolusari A., Department of Obstetrics and Gynecology, Yuzuncu Yil University School of Medicine, Van, Turkey en_US
dc.description.abstract Introduction. We report an unusual case of upper airway compromise complicated by thyroid storm in a pregnant woman with Graves' disease, ending with the in utero death of the fetus. This complication might have developed due to upper airway edema as a result of poorly controlled hyperthyroidism. Case presentation. A 41-year-old Turkish woman at 27 weeks' gestation suffering from Graves' disease was referred to our emergency department with a diagnosis of respiratory arrest. She was unconscious and had been intubated. Her laboratory results were compatible with thyrotoxicosis. The patient had suffered from respiratory difficulty for a long time and had stopped using her antithyroid medications after the first trimester of pregnancy. One day before, she had visited an obstetrician because her respiratory distress had increased. At that time, her fetus was still alive. She was given oxygen therapy and then sent home. With a presumptive diagnosis of thyroid storm, she was admitted to the intensive care unit and treated with aggressive medical therapy. The baby was found to be no longer alive and was delivered vaginally after labor induction. The mother was discharged 10 days later with maintenance therapy. Conclusion. Hyperthyroidism during pregnancy warrants very close attention and should almost always be treated with appropriate antithyroid medications. Maternal respiratory distress in such patients can be an early sign of impending upper airway compromise and thyroid storm, which can endanger the mother and fetus unless prompt and aggressive therapy is initiated. © 2009 Yildizhan et al; licensee Cases Network Ltd. en_US
dc.identifier.doi 10.1186/1752-1947-3-7297
dc.identifier.issn 1752-1947
dc.identifier.scopus 2-s2.0-73449099602
dc.identifier.scopusquality Q2
dc.identifier.uri https://doi.org/10.1186/1752-1947-3-7297
dc.identifier.uri https://hdl.handle.net/20.500.14720/6522
dc.identifier.volume 3 en_US
dc.identifier.wosquality N/A
dc.language.iso en en_US
dc.relation.ispartof Journal of Medical Case Reports en_US
dc.relation.publicationcategory Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı en_US
dc.rights info:eu-repo/semantics/openAccess en_US
dc.title Fetal Death Due To Upper Airway Compromise Complicated by Thyroid Storm in a Mother With Uncontrolled Graves' Disease: a Case Report en_US
dc.type Article en_US

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