title: Thyroid storm precipitated by duodenal ulcer perforation.
abstract: Thyroid storm is a rare and life-threatening complication of thyrotoxicosis that requires prompt treatment. Thyroid storm is also known to be associated with precipitating events. The simultaneous treatment of thyroid storm and its precipitant, when they are recognized, in a patient is recommended; otherwise such disorders, including thyroid storm, can exacerbate each other. Here we report the case of a thyroid storm patient (a 55-year-old Japanese male) complicated with a perforated duodenal ulcer. The patient was successfully treated with intensive treatment for thyroid storm and a prompt operation. Although it is believed that peptic ulcer rarely coexists with hyperthyroidism, among patients with thyroid storm, perforation of a peptic ulcer has been reported as one of the causes of fatal outcome. We determined that surgical intervention was required in this patient, reported despite ongoing severe thyrotoxicosis, and reported herein a successful outcome.
authors.affiliation: Department of Endocrinology and Metabolism, Nagasaki University Hospital, Nagasaki 852-8501, Japan.
authors.forename: Shoko
authors.initials: S
authors.lastname: Natsuda
authors.affiliation: Department of Endocrinology and Metabolism, Nagasaki University Hospital, Nagasaki 852-8501, Japan.
authors.forename: Yomi
authors.initials: Y
authors.lastname: Nakashima
authors.affiliation: Department of Endocrinology and Metabolism, Nagasaki University Hospital, Nagasaki 852-8501, Japan.
authors.forename: Ichiro
authors.initials: I
authors.lastname: Horie
authors.affiliation: Department of Endocrinology and Metabolism, Nagasaki University Hospital, Nagasaki 852-8501, Japan.
authors.forename: Takao
authors.identifier: 0000-0001-6371-1908
authors.initials: T
authors.lastname: Ando
authors.affiliation: Department of Endocrinology and Metabolism, Nagasaki University Hospital, Nagasaki 852-8501, Japan.
authors.forename: Atsushi
authors.initials: A
authors.lastname: Kawakami
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