ArticleAACE endocrinology and diabetes
Management of a Patient With Acute Abdomen and Thyroid Storm.
Article in AACE endocrinology and diabetes. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Catastrophic Multiterritorial Arterial Embolization Causing Near-Total Bowel Necrosis in New-Onset Atrial Fibrillation With Thyrotoxicosis.ACG case reports journal · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Acute abdomen often requires urgent surgical intervention. In certain instances, thyrotoxicosis can contribute to the onset of acute abdomen. This relationship complicates both diagnosis and management. Therefore, understanding the interplay between thyrotoxicosis and acute abdomen is essential for implementing effective treatment strategies. This case report aims to illustrate the diagnostic and therapeutic challenges encountered in managing a patient with mesenteric ischemia due to thyroid storm, emphasizing the importance of a multidisciplinary approach in achieving favorable outcomes. Case Report: We describe a case of a 54-year-old female who presented with acute abdominal pain, rapidly deteriorating to respiratory failure requiring intubation. Initial investigations revealed an embolic occlusion of the superior mesenteric artery and signs of bowel ischemia as well as cardiopulmonary decompensation. To evaluate the cause of the cardiac failure, subsequent thyroid function tests confirmed hyperthyroidism. The patient underwent endovascular embolectomy, bowel resection, and later a total thyroidectomy. Discussion: The patient's acute abdomen was managed with embolectomy and bowel resection. A Burch-Wartofsky score of 75 was highly suggestive of thyroid storm, leading to an urgent total thyroidectomy after interdisciplinary discussion. Histopathological examination confirmed chronic thyroid inflammation with increased endocrine activity. Conclusion: This case highlights the serious complication of mesenteric ischemia due to thyroid storm. Endovascular thrombectomy and bowel resection effectively managed the ischemia, while thyroidectomy facilitated a rapid return to a euthyroid state. This case serves as a valuable reference for the management of similar presentations, demonstrating the potential for successful outcomes with timely, aggressive treatment.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.