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A rare endocrine cause of electrical storm - a case report

Sheehan’s syndrome, also called Simmond’s syndrome, postpartum apoplexy, postpartum pituitary necrosis, and postpartum panhypopituitary syndrome, is the name given to postpartum hypopituitarism. The syndrome is caused by an infarction in the adenohypophysis, usually precipitated by massive uterine h...

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Autores principales: Shinde, Sunny D, Sabnis, Girish R, Lanjewar, Charan P, Kerkar, Prafulla G
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6176984/
https://www.ncbi.nlm.nih.gov/pubmed/31020067
http://dx.doi.org/10.1093/ehjcr/ytx008
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author Shinde, Sunny D
Sabnis, Girish R
Lanjewar, Charan P
Kerkar, Prafulla G
author_facet Shinde, Sunny D
Sabnis, Girish R
Lanjewar, Charan P
Kerkar, Prafulla G
author_sort Shinde, Sunny D
collection PubMed
description Sheehan’s syndrome, also called Simmond’s syndrome, postpartum apoplexy, postpartum pituitary necrosis, and postpartum panhypopituitary syndrome, is the name given to postpartum hypopituitarism. The syndrome is caused by an infarction in the adenohypophysis, usually precipitated by massive uterine haemorrhage and hypovolemic shock during or after childbirth. Extensive destruction of pituitary cells results in varying degree of hypopituitarism. Acute loss of adenohypophysis function can be fatal without glucocorticoid and thyroid replacement therapy and survivors will require life time hormonal replacement therapy. Most cases present in the postpartum period with lactation failure or after months to years after the delivery. In many affected women, anterior pituitary dysfunction is not diagnosed for many years. Dyselectrolytemia is one of a common presentation in Sheehan’s syndrome. Herein, we report a case of a 35-year old female with a history of obstetric hysterectomy 2 years ago in view of severe postpartum haemorrhage with history of failure of lactation and three episodes of syncope since last 1½ years and now presented with polymorphic ventricular tachycardia which required DC cardioversion. She was referred as a case of long QT syndrome. On investigating further, she had hypokalaemia secondary to hypopituitarism due to Sheehan’s syndrome.
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spelling pubmed-61769842019-04-24 A rare endocrine cause of electrical storm - a case report Shinde, Sunny D Sabnis, Girish R Lanjewar, Charan P Kerkar, Prafulla G Eur Heart J Case Rep Case Reports Sheehan’s syndrome, also called Simmond’s syndrome, postpartum apoplexy, postpartum pituitary necrosis, and postpartum panhypopituitary syndrome, is the name given to postpartum hypopituitarism. The syndrome is caused by an infarction in the adenohypophysis, usually precipitated by massive uterine haemorrhage and hypovolemic shock during or after childbirth. Extensive destruction of pituitary cells results in varying degree of hypopituitarism. Acute loss of adenohypophysis function can be fatal without glucocorticoid and thyroid replacement therapy and survivors will require life time hormonal replacement therapy. Most cases present in the postpartum period with lactation failure or after months to years after the delivery. In many affected women, anterior pituitary dysfunction is not diagnosed for many years. Dyselectrolytemia is one of a common presentation in Sheehan’s syndrome. Herein, we report a case of a 35-year old female with a history of obstetric hysterectomy 2 years ago in view of severe postpartum haemorrhage with history of failure of lactation and three episodes of syncope since last 1½ years and now presented with polymorphic ventricular tachycardia which required DC cardioversion. She was referred as a case of long QT syndrome. On investigating further, she had hypokalaemia secondary to hypopituitarism due to Sheehan’s syndrome. Oxford University Press 2017-11-07 /pmc/articles/PMC6176984/ /pubmed/31020067 http://dx.doi.org/10.1093/ehjcr/ytx008 Text en © The Author 2017. Published by Oxford University Press on behalf of the European Society of Cardiology http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Reports
Shinde, Sunny D
Sabnis, Girish R
Lanjewar, Charan P
Kerkar, Prafulla G
A rare endocrine cause of electrical storm - a case report
title A rare endocrine cause of electrical storm - a case report
title_full A rare endocrine cause of electrical storm - a case report
title_fullStr A rare endocrine cause of electrical storm - a case report
title_full_unstemmed A rare endocrine cause of electrical storm - a case report
title_short A rare endocrine cause of electrical storm - a case report
title_sort rare endocrine cause of electrical storm - a case report
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6176984/
https://www.ncbi.nlm.nih.gov/pubmed/31020067
http://dx.doi.org/10.1093/ehjcr/ytx008
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