A 45-year-old female patient with Sheehan’s syndrome presenting with imminent adrenal crisis: a case report
| Autor: | Sinshaw Abay, Yibeltal Anemen, Simachew Anemen Bante, Kebadnew Mulatu Mihrete, Abere Genetu |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Central hypothyroidism
Abdominal pain Pediatrics medicine.medical_specialty Hormone Replacement Therapy Nausea 030209 endocrinology & metabolism Hypopituitarism Anorexia 03 medical and health sciences 0302 clinical medicine Pregnancy Case report medicine Humans Sheehan’s syndrome Sheehan's syndrome business.industry Adrenal crisis General Medicine Middle Aged medicine.disease Postpartum hemorrhage Pituitary Gland Acute Disease Vomiting Medicine Female Panhypopituitarism medicine.symptom business 030217 neurology & neurosurgery Adrenal Insufficiency Secondary adrenal insufficiency |
| Zdroj: | Journal of Medical Case Reports, Vol 15, Iss 1, Pp 1-5 (2021) Journal of Medical Case Reports |
| ISSN: | 1752-1947 |
| Popis: | Background Sheehan's syndrome is hypopituitarism due to pituitary gland necrosis resulting from hemorrhagic shock during pregnancy. It is a rare complication with varied manifestations and a considerable delay in diagnosis. Case presentation We describe the case of a 45-year-old Ethiopian woman who presented with generalized fatigue for 18 years which progressed to anorexia, nausea, vomiting, diarrhea, and abdominal pain of 6 years' duration, for which she was treated symptomatically throughout these years. Complete clinical evaluation, endocrine studies, and pituitary magnetic resonance scan revealed hypopituitarism secondary to Sheehan’s syndrome. She had significant improvement noted following the commencement of hormone replacement therapy. Conclusion Previous case reports describe patients being diagnosed after one or more complications from long-term panhypopituitarism. The present case illustrates that undiagnosed Sheehan's syndrome is associated with long-term morbidity, and we want to emphasize that a high index of suspicion is crucial for the early diagnosis of the syndrome in routine clinical visits in order to prevent complications arising with delayed diagnosis. Awareness among clinicians is also essential so that such cases are not overlooked, especially in developing nations, where home delivery is still common and obstetric care is limited. |
| Databáze: | OpenAIRE |
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