A Case Report on Sheehan's Syndrome

Abstract

Sheehan’s syndrome is a well-known cause of panhypopituitarism secondary to pituitary apoplexy, that generally occurs after an intra- or postpartum bleeding episode characterized by massive hemorrhage and hypovolemic shock. The diagnosis can be difficult and is often formulated after some years from the syndrome occurrence. We report the case of a woman with a relatively early diagnosed Sheehan’s syndrome associated with amenorrhoea and secondary hypothyriodism complicated by postpartum hemorrhage. DOI: http://dx.doi.org/10.3126/jcmc.v3i2.8444 Journal of Chitwan Medical College Vol.3(2) 2013 49-50

A Case Study of Sheehan’s Syndrome

“…8 The final diagnosis on this case was based on typical history of hypothyroidism, investigative report showing secondary hypothyroidism, and MRI brain showing partial empty sella. 9 It is necessary to consider this diagnosis in all patients having past history of postpartum bleeding, hypotension or a cardiovascular collapse during childbirth. Whatever the cause, patients with the presence of the classic signs of pituitary insufficiency should be screened.…”

A 45-year-old female patient with Sheehan’s syndrome presenting with imminent adrenal crisis: a case report

“…Uncommonly, it can present as an emergency condition with circulatory collapse, severe hyponatremia, diabetes insipidus, hypoglycemia, congestive cardiac failure, or psychosis [ 13 ]. In some cases, the diagnosis is not made until years later, when features of hypopituitarism, such as secondary hypothyroidism or secondary adrenal insufficiency, become evident in a woman who had a postpartum hemorrhage [ 14 ].…”

Sheehan’s syndrome with hypothyroidism: a rare case report

“…11 Other times, a woman who has had a postpartum haemorrhage may not be diagnosed with hypopituitarism until years later when secondary hypothyroidism/secondary adrenal insufficiency become apparent. 12…”