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Universitas Medica
Print version ISSN 0041-9095On-line version ISSN 2011-0839
Abstract
ROJAS MELO, Leonardo Javier; CRUZ RAMIREZ, Viviana; MORROS-GONZALEZ, Elly and IMITOLA MADERO, Angélica. Thyroidectomy in Pregnant Patient with Grave’s Disease Without Response to Medical Treatment: Case Repor. Univ. Med. [online]. 2020, vol.61, n.3, pp.65-71. Epub Mar 30, 2020. ISSN 0041-9095. https://doi.org/10.11144/javeriana.umed61-3.grav.
Objective:
To describe the case of a pregnant patient with Graves’ disease who presented inadequate response to antithyroid medications with the aim to present the alternative therapeutics options such as cholestyramine, steroids, potassium iodide, plasmapheresis and thyroidectomy.
Material and methods:
18 years-old-female patient, with 25-week pregnancy and history of Graves’ disease for 2 years, treated with high doses of methimazole and propranolol.
Results
Post-surgical evolution was satisfactory; patient was discharged with levothyroxine 100 mg/day treatment. At the 39th week of gestation, a healthy female baby was born, weighting 3200 grams with a normal neonatal TSH 6.21 mU/ml (0-15).
Conclusions:
Thyroidectomy at the end of the second trimester in pregnant women with Graves’ disease may be a favorable therapeutic alternative in case of inadequate response to medical treatment.
Keywords : thyroidectomy; Graves’ disease; hyperthyroidism; pregnancy; thyroid crisis.
