Cardiac tamponade as a presenting manifestation of Sheehan syndrome.
Artículo
en Inglés
| IMSEAR
| ID: sea-118312
ABSTRACT
We report a 38-year-old Syrian woman who presented with progressive breathlessness, hypotension and circulatory collapse. Echocardiogram revealed a large pericardial effusion with evidence of cardiac tamponade. There was a history of secondary amenorrhoea, loss of axillary and pubic hair following childbirth at 28 years of age. Investigations revealed low levels of gonadotrophins, oestrogen, prolactin and thyrotrophin but normal levels of basal and post-synacthen (ACTH) cortisol. An MRI of the sella showed atrophic changes of the pituitary. She was treated with intravenous fluids, dopamine infusion, intravenous hydrocortisone and thyroxine replacement. The clinical suspicion of Sheehan syndrome facilitated early administration of corticosteroids, adequate thyroxine replacement and rapid resolution of pericardial effusion.
Texto completo:
Disponible
Índice:
IMSEAR (Asia Sudoriental)
Asunto principal:
Choque
/
Femenino
/
Humanos
/
Imagen por Resonancia Magnética
/
Ecocardiografía
/
Taponamiento Cardíaco
/
Adulto
/
Hipopituitarismo
Idioma:
Inglés
Año:
2008
Tipo del documento:
Artículo
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