We aimed to assess the incidence of hypopituitarism. From 2015 to 2017, adult pregnant women, who developed moderate to severe postpartum hemorrhage pph. Three months prior to being admitted to our hospital, the patient started to notice alopecia, generalized edema. Sheehans syndrome is the name given to postpartum hypopituitarism, usually precipitated by massive uterine haemorrhage and hypovolemic shock during or after childbirth resulting into pituitary. Pdf sheehans syndrome ss is called the acquired hypopituitarism in women due to peripartum pituitary. Sheehans syndrome ss occurs as a result of ischemic pituitary necrosis due to severe postpartum hemorrhage. Sheehan s syndrome is the name given to postpartum hypopituitarism, usually precipitated by massive uterine haemorrhage and hypovolemic shock during or. Ed del autor alicia yolanda dorantes cuellar murphy, o. Hipopituitarismo secundario a hemorragia postparto revista. Sheehan syndrome is a rare, acquired, pituitary hormone deficiency disorder resulting from pituitary necrosis following peri or postpartum hemorrhage.
Sheehan s syndrome is defined by varying degrees of anterior pituitary deficiency due to postpartum ischemic necrosis of the pituitary gland after massive bleeding. Sheehans syndrome ss is postpartum hypopituitarism caused by necrosis of the pituitary gland. Sheehan s syndrome is the name given to postpartum hypopituitarism, usually precipitated by massive uterine haemorrhage and hypovolemic shock during or after childbirth resulting into pituitary. Anatomical and histological changes occur in the pituitary with an increase in volume of the gland of up to 40%. Shock cardiogenico por panhipopituitarismo medicina intensiva. During pregnancy, important adaptative changes occur as a result of the relationship between mother, placenta and fetus. Sheehans syndrome ss occurs as a result of ischemic pituitary necrosis due to severe postpartum. Its caused by excess blood loss or extremely low blood pressure during or after labor. From 2015 to 2017, adult pregnant women, who developed moderate to. Sheehan s syndrome remains a frequent obstetric complication with an uncertain pathophysiology. We report a 41yearold woman with a history of severe postpartum hemorrhage 18 years prior to presentation. Antihypothalamus and antipituitary antibodies may contribute to perpetuate the hypopituitarism in patients with sheehan s syndrome. The initial insult is caused by massive postpartum.