Title: Managing Anaesthesia for Abdomino Perineal Resection in a Hypothyroid Patient with Carcinoma Rectum- The Turmoil Unmasked
Author: Dr Vaijayanti Nitin Gadre
DOI: https://dx.doi.org/10.18535/jmscr/v6i1.162
Abstract
Thyroid dysfunction in cancer patients can be easily overlooked. The presence of non-specific constitutional symptoms of hypothyroidism can be attributed to those of malignancy. We present a case of carcinoma rectum that was a known hypothyroid since four years and was taking tablet thyroxin 50mcg. Anaesthetic fitness was considered viewing the status of malignancy. She went into profound hypotension which responded readily to thyroxine instillation through Ryle’s tube. Thus therapy is not complete unless a diagnosis of the possible precipitating event is made and early treatment for underlying illness is implemented.
Keywords: Hypothyroidism, Malignancy, Hypotension
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