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Submitted: 05 April 2017 Modified: 07 April 2017
HERDIN Record #: PCHRD17040511070494

Unusual presentation of Sheehan's syndrome with severe hyponatremia and recurrent symptomatic hypoglycemia: A case report.

Siti Adewiah,
Abdullah .,
Maimun Syukri,
Hendra Zufry,
Krishna W. Sucipto

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Sheehan's syndrome (SS) is postpartum hypopituitarism caused by necrosis of the pituitary gland. The onset in most cases is several months or even years after the inciting delivery, so it is often unrecognized and not adequately treated. Because SS often evolves slowly, it is usually diagnosed late. We report a 47-year old woman with loss of consciousness. Fourteen years ago, she had postpartum hemorrhage with subsequent amenorrhea and failure to lactate. Laboratory investigation showed low blood sugar and serum sodium levels, amid normal cortisol and thyroid function tests. Magnetic resonance imaging (MRI) of the pituitary revealed an empty sella consistent with SS. The presentation of hypoglycemia and hyponatremia are less known complications of Sheehan's syndrome with only a few documented in case reports.

Publication Type
Journal
Publication Sub Type
Case report
Title
Journal of the ASEAN Federation of Endocrine Societies
Frequency
Semi-Annual
Publication Date
November 2016
Volume
31
Issue
2
Page(s)
166-170
LocationLocation CodeAvailable FormatAvailability
Philippine Council for Health Research and Development Library Box No.116 Fulltext Print Format (Request Document)

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