Undiagnosed subclinical hypothyroidism associated with Chilaiditi's syndrome affecting anesthetic management

Abstract

Chilaiditi's syndrome, comprising internal herniation of intestine into sub-diaphragmatic space, may cause acute intestinal obstruction necessitating emergency laparotomy. It is associated with several co-morbidities. In our case its association with subclinical hypothyroidism was detected on the fourth post-operative day, which affected anesthetic management by markedly delaying recovery from general anesthesia.