Sheehan’s Syndrome: A Delayed Diagnosis
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 12
Abstract
Sheehan’s syndrome is a condition characterized by hypopituitarism secondary to ischaemic necrosis of pituitary gland. In Sheehan’s syndrome necrosis occurs due to hypotension and shock resulting from massive postpartum haemorrhage. This disease is becoming rare now due to better postpartum care but is still prevalent in developing countries especially in rural areas and if occurs, it often develops slowly which can be missed and a delayed diagnosis increases mortality and morbidity in affected individuals. Here we present a case of a 37 year old female who presented at our institute with complaints of fever and generalised weakness. She had not attained menses for last 15 years. Patient gives history of post-partum haemorrhage and scanty lactation in her last pregnancy which was 15 years back. Patient was evaluated and a diagnosis of Sheehan’s syndrome was made. In this case patient was diagnosed after 15 years of disease onset this calls for a better understanding of the disease and prompt identification of clues like failure to lactate or absent menstruation following postpartum haemorrhage.
Authors and Affiliations
Dr. Vishavdeep Jain, Dr. Jeyhan Dhabhar, Dr Arpan Chouhan
Keywords
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- EP ID EP421560
- DOI 10.9790/0853-1712010710.
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