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Cirugía y cirujanos
On-line version ISSN 2444-054XPrint version ISSN 0009-7411
Abstract
ROMERO-VASQUEZ, Edgar R.; ARTEAGA-MARTINEZ, Luis A.; LACHICA-RODRIGUEZ, Germán and ORNELAS-AGUIRRE, José Manuel. Case report: severe hypoglycaemia as a late manifestation of Sheehan’s syndrome. Cir. cir. [online]. 2022, vol.90, n.2, pp.262-266. Epub May 02, 2022. ISSN 2444-054X. https://doi.org/10.24875/ciru.20000948.
Background:
Sheehan’s syndrome is a hypopituitarism secondary to necrosis of the pituitary gland caused by massive postpartum bleeding. The presentation is frequently amenorrhea and agalactia; hypoglycemia as a solitary presentation is uncommon.
Case report:
68-year-old female with a history of postpartum hemorrhage 35 years ago. She had two episodes of hypoglycemia. During her hospital stay, panhypopituitarism was detected and the empty sella was confirmed by magnetic resonance imaging.
Conclusions:
It is recommended that medical personnel suspect Sheehan´s syndrome in any woman with nonspecific hypoglycemia and no history of chronic degenerative disease.
Keywords : Sheehan’s syndrome; Hypoglycemia; Atypical presentation.
