Sheehan`s Syndrome: A Case Report
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 10
Abstract
Hypopituitarism developing after severe post partum haemorrhage (PPH) is called Sheehan`s Syndrome. With good obstetric care Sheehan`s Syndrome became a rare entity in developed countries. In Indian context it is still an uncommon serious problem. Presentation depends on the extent of the pituitary necrosis; severe cases presenting immediately and less severe cases presenting years or decades after episode. An young woman had Pre eclampsia, ante partum haemorrhage, post partum haemorrhage at her premature twin pregnancy delivery. Three years later she presented with secondary amenorrhoea. Associated symptoms of weakness, hypotension, cold intolerance, loss of sexual hair, breast and vulval atrophy, loss of libido clinched the diagnosis. Low levels of ACTH, TSH, FSH, LH, Prolactin, and also of Estradiol, Cortisol, Sodium confirmed the diagnosis. Hormone replacement therapy with Cortisone, Thyroxine, Estrogen and Progesterone resulted in improvement of her general condition. Her menstrual cycles are established, genital organs rejuvenated and libido regained.
Authors and Affiliations
Dr Alla Satyanarayana Reddy
Keywords
Related Articles
- EP ID EP528711
- DOI -
- Views 81
- Downloads 0
Morbidity Profile of Geriatric Population in a Rural Field Practice Area of a Tertiary Care Institute in Kashmir Valley
Global ageing is one of the biggest challenges the world is facing currently. The ageing population is both a medical and a social problem. It makes a great demand on health services of a country. Hence studying geriatri...
To Study Indication of Ileostomy/Colostomy at Medical College, Hospital Bikaner Rajasthan
Introduction: A Ileostomy/Colostomy is a lifesaving surgery that enables a person to enjoy a full range of activities, including traveling, sports, family life and work, even though they have a stoma and may wear a pouch...
Diagnostic Role of FOB in Radiological Hilar and Parahilar Shadow of Patients Reporting at Tertiary Care Centre
Fiberoptic bronchoscopy (FOB) is an important procedure for diagnosis of different respiratory problems. The present study was conducted to evaluate the diagnostic role of FOB in Hilar & Parahilar shadows and also to eva...
Renal Malakoplakia- A Case Report
Malakoplakia is a rare granulomatous disease of infectious etiology. The name is derived from the Greek malakos (soft) and plakos (plaque), describing its usual clinical presentation as friable yellow soft plaques. It wa...
A Study of Incidental Gall Bladder Carcinoma in Patients Undergoing Cholecystectomy at A Tertiary Care Hospital
Background: Gallbladder Carcinoma (GBC) is the most common malignancy of the biliary tract. It’s indolent and nonspecific clinical presentation and paucity of pathognomonic radiological features, often preclude diagnosis...