Abstract
Introduction
Human chorionic gonadotropin is regarded as, at least, one of the main factors responsible for hyperemesis gravidarum by direct stimulation of the thyroid gland on the basis of a close homology to the structure of TSH. However, questions to this theory of hCG-induced gestational hyperthyroidism still remain.
Case report
We present for the first time a rare case of hyperemesis gravidarum in a patient with a previous removed thyroid gland and an adequate thyroxin replacement. In this case report we present an extended hyperemesis gravidarum in a patient after total thyroidectomy and thus artificially well-set thyroid parameters.
Conclusion
Although transient hyperthyroidism is widely thought to be causative of a hyperemesis during pregnancy, this case report with a mildly hypothyroidism emphasizes that there might be other, yet unknown, factors that can cause such a severe complication.
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Blankenstein, T.J.F., Kainer, F., Friese, K. et al. Extended hyperemesis gravidarum in a patient after total thyroidectomy. Arch Gynecol Obstet 280, 1029–1031 (2009). https://doi.org/10.1007/s00404-009-1026-z
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DOI: https://doi.org/10.1007/s00404-009-1026-z