Diagnosis Delayed but not Denied - Sheehan’s syndrome

Thyagaraj, Vijayashree; Kumar, Manoj

doi:10.31729/jnma.2701

Cited by 4 publications

(5 citation statements)

References 7 publications

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“…Review of literature revealed the rarity of the disorder, with only four cases reported so far. Multiple anterior pituitary hormone deficiencies in Sheehan's syndrome are responsible for pancytopenia; replacement of thyroid and cortisol hormones results in complete recovery [20].…”

Section: Treatmentmentioning

confidence: 99%

Placenta Abruption and Delivery Method

Jovandaric¹,

Milenković²

2020

Childbirth

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Placental abruption is a significant contributor to maternal mortality worldwide. Early and skilled medical intervention is needed to ensure a good outcome, and this is not available in many parts of the world. Abruptio placentae are defined as the premature separation of the placenta from the uterus. Placental abruption must be considered whenever bleeding is encountered in the second half of pregnancy, since it is a significant cause of third-trimester bleeding associated with fetal and maternal morbidity and mortality. If the bleeding persists, fetal and maternal distress may develop. Fetal and maternal death may occur if appropriate interventions are not undertaken. The severity of fetal distress correlates with the degree of placental separation. In near-complete or complete abruption, fetal death is inevitable unless an immediate cesarean delivery is undertaken.

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Section: Treatmentmentioning

confidence: 99%

Placenta Abruption and Delivery Method

Jovandaric¹,

Milenković²

2020

Childbirth

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“…Delayed diagnosis is attributed to the practitioners' inability to link broad spectrum symptomology to the condition. This inability does not stem from indifference, but rather stems from a lack of awareness of the rare condition and the lack of focus on postpartum and menstrual history in the years following delivery [14].…”

Section: Incidence and Prevalencementioning

confidence: 99%

“…The dosage and selection of medication depends on the severity of the imbalance. Some patients need medications only when enduring stress, while others need medications consistently in order to maintain a baseline level [14]. If cortisol levels improve, patients may remain on small doses, increasing the frequency as appropriate [4,23].…”

Section: Breast Atrophy Negativementioning

confidence: 99%

Diagnosis and treatment challenges of Sheehan's Syndrome

Gaspar¹

2018

Front Womens Healt

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Sheehan's Syndrome is a chronic health condition specific to women who have experienced postpartum hemorrhage. It is characterized by varying degrees of pituitary hormone imbalance related to the pathological process of pituitary gland necrosis after hemorrhage has occurred. Though the syndrome is a rare complication of hemorrhage, diagnosis is often substantially delayed due to the circumstances surrounding delivery and the broad spectrum of clinical presentation. The aim of this paper is to explore the complexities of the syndrome in an effort to help practitioners provide early diagnosis and appropriate treatment to women with the condition. This is achieved by synthesizing relevant and recent literature about immediate and delayed presentations of the condition via the frame of a clinical vignette.

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“…[ 1 ] Acute hypopituitarism rarely occurs, and the majority of patients present with nonspecific symptoms in the chronic phase, including fatigue, cold intolerance, sparse axillary and pubic hair, hypopigmentation, and dry skin. [ 2 ] Acute pituitary crisis is mostly caused by infection, trauma, tumors, or surgery. Here, we present a case in which a female developed refractory electrolyte disorders, circulatory collapse, anemia, and coma after lumbar surgery.…”

Section: Introductionmentioning

confidence: 99%

Acute pituitary crisis after lumbar surgery: A case report

Wang,

Gong

2023

Medicine

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Rationale: Patients with hypopituitarism often have no specific symptoms; that frequently results in missed diagnosis. An acute hypopituitarism crisis can be induced under stressful conditions. Here, we report a rare case of an acute pituitary crisis after lumbar surgery. Patient concerns: We describe a 62-year-old female who presented with refractory electrolyte disorders after lumbar surgery. In addition, she developed anorexia, nausea, vomiting, chest cavity effusion, ascites, pericardial effusion, anemia, low blood pressure, bradycardia, and unconsciousness after surgery. MRI showed an empty sella turcica. Diagnoses: She was diagnosed with postoperative acute hypopituitary crisis. Interventions: The patient received hormone replacement therapy. Outcomes: Her symptoms improved significantly following the initiation of hormone replacement therapy and was well 6 months after surgery. Lessons: Refractory postoperative complications, including electrolyte disorders, infection, nausea, vomiting, circulatory collapse, anemia, and coma, indicate an acute postoperative hypopituitary crisis.

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Diagnosis Delayed but not Denied - Sheehan’s syndrome

Cited by 4 publications

References 7 publications

Placenta Abruption and Delivery Method

Placenta Abruption and Delivery Method

Diagnosis and treatment challenges of Sheehan's Syndrome

Acute pituitary crisis after lumbar surgery: A case report

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