Psychiatric manifestations of sheehan syndrome has rarely been studied. Its frequency is decreasing worldwide and it is a rare cause of hypopituitarism in. Diagnosis and treatment challenges of sheehans syndrome oatext. Unusual presentation of sheehans syndrome with severe. Sheehans syndrome ss occurs as a result of ischemic pituitary necrosis due to severe postpartum hemorrhage figure 1. The initial insult is caused by massive postpartum. Also called postpartum hypopituitarism, sheehans syndrome is rare in industrialized nations, largely because care during pregnancy and childbirth is better than in developing countries. Sheehans syndrome ss is postpartum hypopituitarism caused by necrosis of the. A lateonset of sheehans syndrome presenting with life. Sheehan syndrome or postpartum hypopituitarism is a condition characterized by hypopituitarism due to necrosis of the pituitary gland. Growth hormone is the first hormone to be affected in sheehan s syndrome. Recurrent pericardial tampon ade due to sheehan syndrome a. It is usually the result of severe hypotension or shock caused by massive hemorrhage during or after delivery.
Successful management of patient with sheehans syndrome. Patients with ss have varying degrees of anterior pituitary hormone deficiency. Sheehans syndrome has an insidious course with variable. Sheehans syndrome is caused by damage to the pituitary, thereby causing a decrease in one or more of the hormones it normally secretes. Diagnosis and treatment challenges of sheehans syndrome. Sheehans syndrome usually presents progressively with a variety of developing symptoms starting commonly with failure to lactate, breast involution and then amenorrhoea, rather than the more dramatic and acute presentation. View of unusual presentation of sheehans syndrome with severe. This results in the abnormally prolonged flow of blood to the placenta after delivery. As a result of advances in obstetric care in developed countries, sheehans syndrome is a rare cause of hypopituitarism. Major depressive disorder is associated with growth hormone deficiency.
Indian journal of endocrinology and metabolism 2011 vol 15 supplement 3 s203. Sheehans syndrome ss is postpartum hypopituitarism caused by necrosis of the pituitary gland. It remains common in underdeveloped and developing countries. Atony of the uterus may be related to pph that could induce sheehan s syndrome. Psychosis as a rare late manifestation of sheehans syndrome. Sheehans syndrome causes the pituitary gland to not produce enough pituitary hormones hypopituitarism. American college of obstetricians and gynecologists 2017 acog. Pericardial tamponade due to sheehan syndrome a rare etiology. Sheehan s syndrome ss is postpartum hypopituitarism caused by necrosis of the pituitary gland.
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