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Updated: Sep 28, 2025

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
Reporte de caso: hipoglucemia grave como manifestación tardía de síndrome de Sheehan
Edgar R Romero-Vásquez1, Luis A Arteaga-Martínez2, Germán Lachica-Rodríguez2
1Servicio de Medicina Interna, Unidad Médica de Alta Especialidad, Instituto Mexicano del Seguro Social (IMSS).
Background:
Sheehan's syndrome is a hypopituitarism secondary to necrosis of the pituitary gland caused by massive postpartum bleeding. The presentation is frequently amenorrhea and agalactia; hypoglycemia as a solitary presentation is uncommon.
Case Report:
68-year-old female with a history of postpartum hemorrhage 35 years ago. She had two episodes of hypoglycemia. During her hospital stay, panhypopituitarism was detected and the empty sella was confirmed by magnetic resonance imaging.
Conclusions:
It is recommended that medical personnel suspect Sheehan´s syndrome in any woman with nonspecific hypoglycemia and no history of chronic degenerative disease.
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