Sheehan syndrome

An uncommon cause of hypopituitarism seen after severe postpartum hemorrhaging. Prolonged hypovolemia leads to ischemic necrosis of the pituitary. Clinical signs typically present in the puerperium and include failure to begin lactation, fatigue, hypotension and eventual amenorrhea. Clinical course is usually mild, however extreme cases may progress to adrenal failure. Prognosis is most favorable when hormone replacement is initiated soon after symptom onset.

Disease Alternative Name

postpartum hypopituitarism

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Recent Cases of Sheehan syndrome

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Concluded Case

Dr. Gourango Bhattacharjee

RUMP

Female / 30yrs C/o- Amenorrhoea for last 5 yrs P1+0 H/o- Normal Delivery followed by PPH , which was managed medically and blood transfusion. She had Lactation problem . She consult DGO 4 yrs back- FSH - 1.7 PRL- 20 TSH- 1.9 LH - 12.1 Vital...See More

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Concluded answer

Dr. Shivraj Agarwal

General Practice

This looks to be a c/o postpartum menopause though at early age but known in same cases Moreover it is gynaecologist has to decide it as a c/o amenorrhea or menopause

Concluded Case

Dr. Malathi Battula

Obstetrics & Gynecology

48 yr female with 2 vag. deliveries first child 20yrs 2nd delivery is a gross iugr with iud at 28 wks induced for 2 days landed in severe pph and dic survived 18 yrs back then landed in Sheehans syndrome with amenorrhoea she is on cortiso...See More

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Concluded answer

Dr. Malathi Battula

Obstetrics & Gynecology

her tsh prolactin cortisol fsh levels maintaining normally she is on wysolone 5 mg bd and thyroxine 50micrograms per day ct bt platelet count normal having amenorrhoea since 2 m under observation

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Top Cases of Sheehan syndrome

Selected by editors, top cases are known for unique problem or best solution

Dr. Pallavi Mittal

General Practice

post part day 7 female presented with amenorrhea and no lactation follwoing delivery. also hypothyroidism. no prior features of hypothyroidism. should i suspect sheehan syndrome?

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Dr. Neelam Lashkare

Obstetrics & Gynecology

Pt 2 months pregnant . In her last pregnancy which was 4 years back she had atonic PPH, managed by Devasculizing surgery nd B lynch sutures later she was found to hv Dilated cardiomyopathy After 6 months of delivery her Echo was normal.inv...See More

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