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Sheehan’s syndrome unveiled after decades without a diagnosis: A case report
Sheehan’s syndrome is defined as a postpartum infarction of the pituitary gland following hypovolemic shock due to obstetric hemorrhage. Sheehan’s syndrome’s symptoms are often subtle, and hence it is often overlooked. In this report, we discuss a case of an 82-year-old woman who developed severe po...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10624101/ https://www.ncbi.nlm.nih.gov/pubmed/37927363 http://dx.doi.org/10.1177/2050313X231209685 |
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author | Rabee’, Hadi Braik, Tamara Alnatour, Rezeq Shamlawi, Alaa Rashed, Ammar |
author_facet | Rabee’, Hadi Braik, Tamara Alnatour, Rezeq Shamlawi, Alaa Rashed, Ammar |
author_sort | Rabee’, Hadi |
collection | PubMed |
description | Sheehan’s syndrome is defined as a postpartum infarction of the pituitary gland following hypovolemic shock due to obstetric hemorrhage. Sheehan’s syndrome’s symptoms are often subtle, and hence it is often overlooked. In this report, we discuss a case of an 82-year-old woman who developed severe postpartum hemorrhage after her last childbirth at the age of 37, which required multiple blood transfusions. Since then, she had progressively developed malaise and lastly presented with a new onset of confusion. Basic laboratory tests detected poorly controlled hypothyroidism and severe hyponatremia, which are well-known late-presenting conditions of Sheehan’s syndrome. Escaping the diagnosis for more than four decades is extremely rare and beyond what is reported previously. Despite being a rare cause of hyponatremia in the elderly, physicians should maintain a high index of suspicion and are required to look for a readily treatable and preventable cause of hyponatremia (after excluding the common causes), which may alleviate the suffering of these patients. |
format | Online Article Text |
id | pubmed-10624101 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-106241012023-11-04 Sheehan’s syndrome unveiled after decades without a diagnosis: A case report Rabee’, Hadi Braik, Tamara Alnatour, Rezeq Shamlawi, Alaa Rashed, Ammar SAGE Open Med Case Rep Case Report Sheehan’s syndrome is defined as a postpartum infarction of the pituitary gland following hypovolemic shock due to obstetric hemorrhage. Sheehan’s syndrome’s symptoms are often subtle, and hence it is often overlooked. In this report, we discuss a case of an 82-year-old woman who developed severe postpartum hemorrhage after her last childbirth at the age of 37, which required multiple blood transfusions. Since then, she had progressively developed malaise and lastly presented with a new onset of confusion. Basic laboratory tests detected poorly controlled hypothyroidism and severe hyponatremia, which are well-known late-presenting conditions of Sheehan’s syndrome. Escaping the diagnosis for more than four decades is extremely rare and beyond what is reported previously. Despite being a rare cause of hyponatremia in the elderly, physicians should maintain a high index of suspicion and are required to look for a readily treatable and preventable cause of hyponatremia (after excluding the common causes), which may alleviate the suffering of these patients. SAGE Publications 2023-11-02 /pmc/articles/PMC10624101/ /pubmed/37927363 http://dx.doi.org/10.1177/2050313X231209685 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Case Report Rabee’, Hadi Braik, Tamara Alnatour, Rezeq Shamlawi, Alaa Rashed, Ammar Sheehan’s syndrome unveiled after decades without a diagnosis: A case report |
title | Sheehan’s syndrome unveiled after decades without a diagnosis: A case report |
title_full | Sheehan’s syndrome unveiled after decades without a diagnosis: A case report |
title_fullStr | Sheehan’s syndrome unveiled after decades without a diagnosis: A case report |
title_full_unstemmed | Sheehan’s syndrome unveiled after decades without a diagnosis: A case report |
title_short | Sheehan’s syndrome unveiled after decades without a diagnosis: A case report |
title_sort | sheehan’s syndrome unveiled after decades without a diagnosis: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10624101/ https://www.ncbi.nlm.nih.gov/pubmed/37927363 http://dx.doi.org/10.1177/2050313X231209685 |
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