Language
English
Publication Date
1-1-2025
Journal
Orthopedic Reviews
DOI
10.52965/001c.143086
PMID
40969402
PMCID
PMC12442890
PubMedCentral® Posted Date
9-20-2025
PubMedCentral® Full Text Version
Post-print
Abstract
Myxedema coma is a rare, life-threatening complication of severe, long-standing hypothyroidism, often precipitated by physiological stress such as infection, trauma, or surgery. Perioperative presentations of myxedema coma are especially uncommon. This case report describes a 71-year-old male with a history of poorly controlled hypothyroidism who underwent emergent surgical fixation of a traumatic left intertrochanteric femur fracture who developed intraoperative myxedema coma. Timely diagnosis and intervention—including intravenous thyroid hormone replacement, corticosteroids, hemodynamic support, and close anesthetic management were crucial to optimizing the patient’s outcome. This report highlights the critical role of anesthetic management in myxedema coma cases, emphasizing the importance of endocrine and hemodynamic support. Furthermore, it promotes multidisciplinary coordination when managing endocrinological emergencies in high-risk surgical patients.
Keywords
Myxedema Coma, Perioperative Endocrine Emergencies, Perioperative Medicine, Orthopedics, Critical Care
Published Open-Access
yes
Recommended Citation
Macnojia, Arusa; Lopez, Marlene; Hasoon, Jamal; et al., "Intraoperative Recognition and Anesthetic Management of Myxedema Coma During Emergent Intertrochanteric Femur Fracture Repair" (2025). Faculty and Staff Publications. 3824.
https://digitalcommons.library.tmc.edu/baylor_docs/3824