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Updated: Dec 24, 2025

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[Headache in puerperium].

Cynthia M C Lemmens1,2, Mostafa Khalilzada1, Caspar A G Holleboom3

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Summary
This summary is machine-generated.

Sheehan's syndrome, a rare pituitary gland complication from postpartum hemorrhage, requires early diagnosis for better outcomes. This case highlights its development after cesarean section blood loss.

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Area of Science:

  • Endocrinology
  • Obstetrics
  • Neurology

Background:

  • Sheehan's syndrome is a rare complication of severe postpartum hemorrhage.
  • It leads to pituitary gland dysfunction (hypopituitarism).
  • Symptoms include headaches, fatigue, and hormonal deficiencies.

Observation:

  • A case of Sheehan's syndrome developed following significant blood loss during a cesarean section.
  • Initial brain imaging was considered with other diagnoses in mind.

Findings:

  • The case illustrates Sheehan's syndrome occurring after cesarean-related hemorrhage.
  • Cranial imaging may reveal pituitary ischemia or an empty sella sign.

Implications:

  • Early diagnosis of Sheehan's syndrome is critical for patient prognosis.
  • Management involves acute resuscitation, symptom management, and long-term hormone replacement therapy.