DOI: 10.36347/sjmcr.2016.v04i08.011

Pages: 602-604

A 15-year-old girl fell down a flight stairs. Upon arrival at our hospital, she was dazed with emotional incontinence. She had tachycardia (150 beats per minute), tachypnea and hypertension. She had swelling of the thyroid gland, upper abdominal discomfort without peritoneal stimulating signs, and no particular traumatic findings except for in the legs. Traumatic pan scan using CT was negative for trauma. However, CT demonstrated diffuse swelling of the thyroid gland with iso-low density compared to the surrounding tissues. We suspected that she had thyroid storm. Given that our hospital did not measure thyroid function, she was transferred to another hospital after correction of sinus tachycardia using beta blocker. After thyroid function analysis, she was diagnosed with thyroid storm due to Basedow disease. After medical treatment, she was discharged on Day 10 of hospitalization. Given that the CT density of the thyroid tends to correlate with the thyroid stimulating hormone level, checking the CT density and size of the thyroid may help diagnose thyroid disease when the levels of thyroid hormone cannot be measured immediately.