Post partum mortality; WHY? Sheehan’s Syndrome
Necrosis in the pituitary gland due to postpartum hemorrhage or hypovolemia is called Sheehan’s syndrome (SS). The clinical condition may result in hypothyroidism, adrenal insufficiency, coma and death, as well as asymptomatic. A 30-year-old woman was admitted to our clinic because of complaints of fatigue, swelling and bruising on her postpartum 10th day. The patient with general condition was in hypotensive shock. The patient, who had a short time of arrest, did not respond to the resuscitation and died. While SS is usually present in years, it may rarely cause cardiac dysrhythmias, adreanal crises, coma and death in some patients. In this case, we wanted to discuss the case of acute SS who died at the age of 30 years.
Keywords: Adrenal insufficiency, HELLP syndrome, postpartum hemorrhage, difficult birth
Eurasian J Critical Care 2020; 2 (2):199-202 Case Report