View of unusual presentation of sheehans syndrome with severe. Indian journal of endocrinology and metabolism 2011 vol 15 supplement 3 s203. Pericardial tamponade due to sheehan syndrome a rare etiology. Diagnosis and treatment challenges of sheehans syndrome oatext. Sheehans syndrome ss is postpartum hypopituitarism caused by necrosis of the.
Patients with ss have varying degrees of anterior pituitary hormone deficiency. Sheehans syndrome usually presents progressively with a variety of developing symptoms starting commonly with failure to lactate, breast involution and then amenorrhoea, rather than the more dramatic and acute presentation. Diagnosis and treatment challenges of sheehans syndrome. Sheehans syndrome has an insidious course with variable. Successful management of patient with sheehans syndrome. Sheehan syndrome or postpartum hypopituitarism is a condition characterized by hypopituitarism due to necrosis of the pituitary gland. Treating depression alone will not help with symptom resolution. Depression can be ruled as a primary diagnosis based upon patient history and symptom progression 11. As a result of advances in obstetric care in developed countries, sheehans syndrome is a rare cause of hypopituitarism.
Also called postpartum hypopituitarism, sheehans syndrome is rare in industrialized nations, largely because care during pregnancy and childbirth is better than in developing countries. This results in the abnormally prolonged flow of blood to the placenta after delivery. American college of obstetricians and gynecologists 2017 acog. Sheehan s syndrome ss is postpartum hypopituitarism caused by necrosis of the pituitary gland. Psychiatric manifestations of sheehan syndrome has rarely been studied.
Atony of the uterus may be related to pph that could induce sheehan s syndrome. It is usually the result of severe hypotension or shock caused by massive hemorrhage during or after delivery. Sheehans syndrome ss occurs as a result of ischemic pituitary necrosis due to severe postpartum hemorrhage figure 1. Growth hormone is the first hormone to be affected in sheehan s syndrome. Major depressive disorder is associated with growth hormone deficiency. Unusual presentation of sheehans syndrome with severe. It remains common in underdeveloped and developing countries. Sheehans syndrome causes the pituitary gland to not produce enough pituitary hormones hypopituitarism.
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