A decade without diagnosis: Sheehan’s syndrome - Case Reports in Clinical Medicine

CRCM > Vol.2 No.8, November 2013

A decade without diagnosis: Sheehan’s syndrome ()

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DOI: 10.4236/crcm.2013.28128 6,523 Downloads 10,351 Views Citations

Author(s)

Fábio A. Nascimento, Juliane Nery, Gustavo Lenci Marques, Felipe Dunin dos Santos, Mauricio de Carvalho

Affiliation(s)

Department of Internal Medicine, Federal University of Paraná, Curitiba, Brazil.
Faculty of Medicine, Federal University of Paraná, Curitiba, Brazil.

ABSTRACT

Sheehan’s Syndrome (SS) occurs as a result of ischemic pituitary necrosis due to severe post-partum hemorrhage. We report a 41-year-old woman with a history of severe postpartum hemorrhage 18 years prior to presentation. During this period of time, she experienced severe fatigue. Three months prior to being admitted to our hospital, the patient started to notice alopecia, generalized edema and cognitive impairment. After proper investigation, laboratory tests and clinical findings indicated panhypopituitarism. In addition to neuroimaging and past medical history, SS was diagnosed and treatment started. We emphasize the importance of thorough investigation, further diagnosis and management of this condition (especially in third world countries), since SS is a neurological and endocrinological emergency and potentially life threatening.

KEYWORDS

Sheehan’s Syndrome; Pituitary Insufficiency; Empty Sella

Share and Cite:

Nascimento, F. , Nery, J. , Marques, G. , Santos, F. and Carvalho, M. (2013) A decade without diagnosis: Sheehan’s syndrome. Case Reports in Clinical Medicine, 2, 490-493. doi: 10.4236/crcm.2013.28128.

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