Title: Sheehan`s Syndrome: A Case Report
Authors: Dr Deepika Baskaran, Dr Alla Satyanarayana Reddy, Dr Harish Babu
DOI: https://dx.doi.org/10.18535/jmscr/v5i10.63
Abstract
Hypopituitarism developing after severe post partum haemorrhage (PPH) is called Sheehan`s Syndrome. With good obstetric care Sheehan`s Syndrome became a rare entity in developed countries. In Indian context it is still an uncommon serious problem. Presentation depends on the extent of the pituitary necrosis; severe cases presenting immediately and less severe cases presenting years or decades after episode. An young woman had Pre eclampsia, ante partum haemorrhage, post partum haemorrhage at her premature twin pregnancy delivery. Three years later she presented with secondary amenorrhoea. Associated symptoms of weakness, hypotension, cold intolerance, loss of sexual hair, breast and vulval atrophy, loss of libido clinched the diagnosis. Low levels of ACTH, TSH, FSH, LH, Prolactin, and also of Estradiol, Cortisol, Sodium confirmed the diagnosis. Hormone replacement therapy with Cortisone, Thyroxine, Estrogen and Progesterone resulted in improvement of her general condition. Her menstrual cycles are established, genital organs rejuvenated and libido regained.
Key Words: Sheehans Syndrome; Post partum haemorrhage; Hypopituitarism.
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