Acute Sheehan's syndrome

Area of Science:

• Endocrinology
• Obstetrics & Gynecology

Background:

• Sheehan's syndrome is a rare postpartum pituitary necrosis.
• Pathogenesis involves pituitary hypoperfusion due to hypotension during postpartum hemorrhage.
• Clinical presentation varies based on the degree of pituitary damage and hormone deficiencies.

Purpose of the Study:

• To report a case of acute Sheehan's syndrome.
• To emphasize early diagnosis and management in the postpartum period.

Main Methods:

• Case report of a patient with acute Sheehan's syndrome.
• Clinical presentation and diagnostic findings were analyzed.
• Treatment involved hormone replacement therapy.

Main Results:

• The patient developed acute Sheehan's syndrome postpartum despite adequate estimated blood loss.
• Successful diagnosis and initiation of replacement therapy were achieved.
• The case illustrates an atypical presentation of the syndrome.

Conclusions:

• Acute Sheehan's syndrome is rare but should be considered in postpartum patients with symptoms like agalactia, amenorrhea, and fatigue.
• Prompt diagnosis and management are essential for favorable outcomes.