RESUMEN
Thyroid crisis, also known as thyroid storm and thyrotoxic cns1s, is a life threateningcondition and usually results after sustained and poorly controlled thyrotoxicosis. It may bean- initial presentation in undiagnosed children or neonates.it carries a high mortality rate .We present a unique case of a young male with no previous diagnosed medical illness, who underwent an elective orthopedic operation but developed thyroid storm during operation along with acute hepatic injury with positive serology for HEV. He was treated in intensive care unit on treatment principles of both diseases along with mechanical ventilation and rest of the supportive management. The fortunate patient survived and his hepatic injury was recovered. The diagnosis of Grave's disease was confirmed after his recovery