Urgent Surgery In A Poorly Controlled Hyperthyroid Patient

Hyperthyroidism is a multisystemic disease with its maineffects on the cardiovascular system. It is better to control thyroid hormone excess before surgery to avoid the risk of precipitating thyroid storm. This won't be practical in emergency or urgent surgeries. This is a case history of a 50 year old man with uncontrolled hyperthyroidism who underwent a gastrectomy for a carcinoma. Hyperthyroidism was managed with antithyroid drugs, beta blockers, glucocorticoids and magnesium sulphate.