High scored thyroid storm after stomach cancer perforation: A case report

Table 1 Thyroid function test values of the patient

Hormone (normal range, unit)	At ER (preoperation)	Postop. day 6	Postop. day 11
T3 (60.0-181.0, ng/dL)	625.4	79.9	94.1
T4 (4.50-10.90, ng/dL)	27.27	5.80	12.45
fT4 (0.89-1.76, ng/dL)	7.02	1.90	3.58
TSH (0.55-4.78, uIU/mL)	< 0.008	< 0.008	< 0.008

ER: Emergency room; Postop.: Postoperative; TSH: Thyroid stimulating hormone.

Table 2 Summary severity scores of previously reported thyroid storm cases over 70 points and the present case

Case No.	Age/Gender	BT	CNS effect	GI-hepatic dysfx.	CV dysfx.	HF	Pre. Hx.	Total	Mortality	Ref.
1	40/Male	20	30	20	35	10	0	115	No	Shimoda et al[8], 2014
2	50/Female	0	20	0	35	5	10	90	No	Izumi et al[9], 2009
3	48/Male	10	10	20	25	10	10	85	No	Sasaki et al[10], 2011
4	30/Female	15	30	0	25	0	10	80	Yes	Yamaji et al[11], 1991
5	43/Male	10	20	10	25	5	10	80	No	Diaz et al[12], 2009
6	62/Female	20	0	10	25	15	0	70	No	Jha et al[13], 2012
7	55/Female	0	20	10	25	5	10	70	No	Ogiso et al[14], 2008
8	56/Female	0	20	20	20	10	0	70	No	Yoshino et al[15], 2010
9	50/Male	15	10	10	25	0	10	70	Yes	Hosojima et al[16], 1992
10	51/Female	15	10	0	25	15	10	75	No	Nai et al[17], 2018
11	52/Male	5	20	10	30	10	0	75	No	Andrade et al[18], 2018
12	36/Female	20	10	0	20	15	10	75	No	Sugiyama et al[19], 2017
13	24/Female	30	10	10	25	0	10	85	No	McMillen et al[20], 2016
14	63/Male	20	10	0	35	5	0	70	No	Snyder et al[21], 2020
15	59/Female	10	20	10	25	0	10	75	No	Osada et al[22], 2011
16	50/Female	15	20	10	35	10	0	90	No	Umezu et al[23], 2013
17	41/Female	10	10	10	35	15	10	90	No	Kulaksizoglu et al[24], 2012
18	48/Male	30	10	20	20	0	10	90	No	Present case

BT: Body temperature; CNS: Central nervous system; GI-hepatic dysfx.: Gastrointestinal-hepatic dysfunction; CV: Cardiovascular; HF: Heart failure; Pre.Hx.: Precipitant history.