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Journal of the ASEAN Federation of Endocrine Societies ; : 166-170, 2016.
Article Dans Anglais | WPRIM | ID: wpr-632790

Résumé

@#<p style="text-align: justify;">Sheehan's syndrome (SS) is postpartum hypopituitarism caused by necrosis of the pituitary gland. The onset in most cases is several months or even years after the inciting delivery, so it is often unrecognized and not adequately treated. Because SS often evolves slowly, it is usually diagnosed late. We report a 47-year old woman with loss of consciousness. Fourteen years ago, she had postpartum hemorrhage with subsequent amenorrhea and failure to lactate. Laboratory investigation showed low blood sugar and serum sodium levels, amid normal cortisol and thyroid function tests. Magnetic resonance imaging (MRI) of the pituitary revealed an empty sella consistent with SS. The presentation of hypoglycemia and hyponatremia are less known complications of Sheehan's syndrome with only a few documented in case reports.</p>


Sujets)
Humains , Femelle , Adulte d'âge moyen , Aménorrhée , Syndrome de la selle turcique vide , Hydrocortisone , Hypoglycémie , Hyponatrémie , Hypopituitarisme , Acide lactique , Imagerie par résonance magnétique , Maladies de l'hypophyse , Hypophyse , Hémorragie de la délivrance , Tests de la fonction thyroïdienne , Perte de conscience , Hormone de croissance , Hormones
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