Open AccessSheehan's Syndrome Presenting with Hyponatraemia: A Case Report
Author(s) -
Prasanta Kumar Bhattacharya Mbbs Md PhD Ficp,
Aakash Roy Mbbs,
Md. Jamil Mbbs,
Pranjal Phukan Mbbs Md Dm,
Kalyan Sarma Mbbs
Publication year - 2016
Publication title -
canadian journal of general internal medicine
Language(s) - English
Resource type - Journals
eISSN - 2369-1778
pISSN - 1911-1606
DOI - 10.22374/cjgim.v11i3.154
Subject(s) - medicine , sheehan's syndrome , hyponatremia , amenorrhea , pediatrics , complication , surgery , pregnancy , hypopituitarism , biology , genetics
Sheehan syndrome (SS), or post partum necrosis of the pituitary gland, is a rare complication of post partum haemorrhage usually presenting with failure of lactation and subsequent amenorrhoea. We report a case of a 30-year-old woman with history of secondary amenorrhea and lactational failure following childbirth complicated with severe post partum hemorrhage, who presented to us with anemia, hypotension, acute confusion, neuropsychiatric manifestations, abnormal posturing and severe hyponatraemia. Hormonal assays revealed low pituitary hormones, subnormal levels of cortisol and thyroid hormones, with magnetic resonance imaging of the brain suggestive of SS. Hyponatraemia and late onset neuro-psychiatric manifestations are uncommon presentations of SS. Hence, there should be a high index of clinical suspicion for Sheehan’s syndrome in women with secondary amenorrhea and lactational failure following childbirth, who present with late onset neuro-psychiatric manifestations and hyponatremia.