Casas CCM, Mancera CL, Muro GPB, Prieto DA, Campos MPE

Language: Spanish
References: 10
Page: 38-41
PDF size: 136.24 Kb.

ABSTRACT

Introduction: During pregnancy, important adaptative changes occur as a result of the relationship between mother, placenta and fetus. Anatomical and histological changes occur in the pituitary with an increase in volume of the gland of up to 40%.Post partum pituitary necrosis or Sheehan’s syndrome occurs secondary to obstetric hemorrhage, causing intense circulatory collapse which in turn predisposes ischemia of the enlarged pituitary. Objective: Case report, patient admission to the emergency room unconscious, with hypoglycemia and hypotension. Once she was stabilized, the presence of data matching Sheehan’s syndrome revealed. Review of clinical manifestations, laboratory and radiology. And analysis of the literature. Methods: A detailed medical history of a patient entered to the emergency room at which diagnosis with Sheehan’s syndrome and review of laboratory and radiological exams was performed. Also compilation and study of diverse internationally recognized journals with experience in scientific and medical publications. We considered those articles wich guide us to the best presentation of this case according to its clinical expression.

REFERENCES

1. Halperin RI, Obiols AG, Soto AM, Torres VE, Tortosa HF, Català BM et al. Guía clínica de las modificaciones hipotalamohipofisarias en el embarazo y en el periodo postparto. Endocrinología y Nutrición 2007; 55: 29-43.

2. Contreras ZE, Mosquetera TX, Domínguez VMC, Parra ZE. Sheehan’s syndrome: a case report and literature review. Revista Colombiana de Obstetricia y Ginecología 2009; 60: 377-381.

3. Kelestimur F. Sheehan’s syndrome. Pituitary 2003; 6: 181-188.

4. Barkan AL. Pituitary atrophy in patients with Sheehan’s syndrome. Am J Med Sci 1989; 289: 38-40.

5. 5 Sastre J, Herranz de la Morena L, Megía A, López GA, Gómez PA, Pallardo SLF. Silla turca vacía primaria: evaluación clínica, radiológica y hormonal. Rev Clin Esp 1992; 191: 481-484.

6. Rojas R, Saucedo MJ, Ramírez M, Rodrigo E. Casos clínicos. Síndrome de Sheehan. Presentación de un caso. Revista de especialidades médico-quirúrgicas 2006; 11: 62-66.

7. Díaz TR, Wolhk GN. Hyponatremia secondary to panhypopituitarism. Report of one case. Revista Chilena de Endocrinología 2010; 3: 24.

8. Dorantes CAY, Martínez SC. Endocrinología clínica, 11a ed., cap.144, secc.13, México, El manual Moderno, 2007.

9. Mnif F, Elleuch M, Rekik N, Mnif M, Charif N, Abid M. Sheehan’s syndrome with pancytopenia: a case report and review of the literature. J Med Case Report 2011; 5: 490.

10. Sánchez SAP et al. Alteraciones del ciclo sexual. En: Paderna AE, Méndez HC, eds. Embriología en la clínica. Casos médicos. México: Editorial Médica Panamericana; 2006: 13-20.