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 80
- Downloads 0
Complications of Hemodialysis
This study is conducted to determine the frequency of complications related to Hemodialysis (HD) in case of Acute kidney injury(AKI) and Chronic kidney disease (CKD) and to compare the prevalence of different complicatio...
Teaching Communication Skills to Medical Undergraduates -Showing the Right Path
A structured training in communication skills is not given in most medical colleges in India although Medical council has made it compulsory. Studies on its effectiveness are few in India & abroad. This study is an educa...
Comparative Study of Stapled Skin Closure versus Conventional Skin Closure in Elective Surgeries
Purpose: To compare the merits and demerits of stapled skin closure when compared to conventional sutures skin closure in elective general surgical cases. Material and Methods: Total of 100 patients (50 in stapler and 50...
Significance of Platelet Parameters and Troponin T in Patients with Acute Coronary Syndrome
Background: Coronary heart disease (CHD) is among the top five causes of morbidity worldwide, and manifests as acute coronary syndrome (ACS). Identifying risk factors for acute coronary syndrome (ACS) is important for bo...
A prospective Study of Serum Testosterone Level in Type 2 Diabetes Mellitus patients
Background: Epidemiological studies have shown that low testosterone levels are an independent risk factor for type-2 diabetes (T2DM). The risk of both hypogonadism and T2DM increases with age. Aims and Objectives: To ev...