From Postpartum Hemorrhage to Acquired Hypopituitarism: Clinical Case

Da Hemorragia Pós-Parto ao Hipopituitarismo Adquirido: Caso Clínico

Authors

  • Joana Gomes da Cunha Serviço de Medicina Interna, Unidade Local de Saúde de Viseu Dão-Lafões, Viseu. Portugal
  • Carolina Anjo Serviço de Medicina Interna, Unidade Local de Saúde de Viseu Dão-Lafões, Viseu. Portugal
  • Gabriel Atanásio Serviço de Medicina Interna, Unidade Local de Saúde de Viseu Dão-Lafões, Viseu. Portugal
  • Vera Romão Serviço de Medicina Interna, Unidade Local de Saúde de Viseu Dão-Lafões, Viseu. Portugal
  • Marta Gonçalves Ferreira Serviço de Endocrinologia, Unidade Local de Saúde Gaia-Espinho, Gaia, Portugal

DOI:

https://doi.org/10.60591/crspmi.223

Keywords:

Hypopituitarism, Postpartum Hemorrhage

Abstract

Sheehan’s syndrome is a rare disease associated with hypopituitarism that occurs because of ischemic pituitary necrosis due to severe postpartum hemorrhage. We report a case of a 34-year-old woman with a history of postpartum hemorrhage and subsequent fatigue, weight loss, hair loss, agalactia, amenorrhea, and dyspareunia. Laboratory results revealed microcytic and hypochromic anemia, hypogonadotropic hypogonadism central hypothyroidism, hypoprolactinemia, and adrenal insufficiency. The radiological evaluation helped to establish a definitive diagnosis. This condition, although increasingly less frequent, requires early diagnosis and appropriate treatment to reduce morbidity and mortality.

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References

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RM hipófise: (A) - Redução da altura da hipófise, com hipossinal em T1 e reforço do sinal à periferia após administração de contraste; (B) - Redução da altura da hipófise com hipersinal em T2.

Published

2024-09-26

How to Cite

Gomes da Cunha, J., Anjo, C., Atanásio, G., Romão, V., & Gonçalves Ferreira, M. (2024). From Postpartum Hemorrhage to Acquired Hypopituitarism: Clinical Case: Da Hemorragia Pós-Parto ao Hipopituitarismo Adquirido: Caso Clínico. SPMI Case Reports, 2(3), 109–112. https://doi.org/10.60591/crspmi.223