[Mixedematous ileus; acute abdomen exacerbate.].
The surgical literature contains few reports about effects of hypothyroidism in patients with acute abdomen; has been reported that a glycoprotein infiltrate the lining of the bowel leading to denervation. We report the case of a woman with acute abdomen secondary to pyosalpynx with uncontrolled hypothyroidism postoperative complications.Hypothyroidism is called "big mimicker"because its clinic spectrum ranges from anasymptomatic subclinical condition to the rare,life-threatening myxedema coma, and thus can bea challenging diagnosis to make. Unrecognized hypothyroidism may lead to unnecessary surgery or even a potentially fatal outcome. A heightened awareness of this not so uncommon entity is mandatory
Hernández-Ramírez
D A
DA
Servicio de Gastrocirugía. Hospital de Especialidades, Centro Médico Nacional "Siglo XXI" IMSS, México. D.F. dr_danielhdz@hotmail.com
Castellanos-Juárez
J C
JC
Romero
T
T
Barragan-Rincón
Á
Á
Blanco-Benavides
R
R
D000006:Abdomen, Acute / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology*; D000328:Adult; D003128:Coma / Q000209:etiology; D005260:Female; D006801:Humans; D007037:Hypothyroidism / Q000150:complications / Q000000981:diagnostic imaging; D045823:Ileus / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology*; D009230:Myxedema / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology*; D014057:Tomography, X-Ray Computed