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Acute Sheehan's Syndrome: A case and an updated literature review

VOLUMEN 5 - NÚMERO 2 / Abril-Junio (Casos clí­nicos / Clinical cases)


Edison Dante Meregildo-Rodríguez, Servicio de Emergencia, Hospital Regional Lambayeque, Chiclayo, Perú

Sheehan’s Syndrome (SS) is postpartum hypopituitarism. SS presents years after an obstetric hemorrhagic event, with variable degrees of pituitary hormonal deficiency. Rarely, SS can present acutely, just after delivery. This is a case of a 24-year-old pregnant woman, with a history of vaginal bleeding in the past 3 weeks, which became severe 12 h before she was admitted. The patient presented with severe anemia, hypoglycemia, hypotension, fever, seizures, and encephalopathy, so then acute SS was suspected. Panhypopituitarism was confirmed. Pituitary computed tomography and magnetic resonance imaging without contrast were normal.

Palabras clave: Hypopituitarism. Postpartum hemorrhage. Pituitary gland (Source: MeSH-NLM).

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