Document Detail

Acute Sheehan's syndrome presenting as central diabetes insipidus.
MedLine Citation:
PMID:  23131607     Owner:  NLM     Status:  In-Data-Review    
Sheehan's syndrome occurs as a result of ischaemic pituitary necrosis due to severe postpartum haemorrhage. Improvements in obstetrical care have significantly reduced its incidence in developed countries, but postpartum pituitary infarction remains a common cause of hypopituitarism in developing countries. We report a case of severe postpartum haemorrhage followed by headache, central diabetes insipidus and failure to lactate, which prompted us to investigate and identify both anterior and posterior pituitary deficiency compatible with Sheehan's syndrome. A timely diagnosis allowed us to implement an adequate treatment and follow-up plan, which are known to improve clinical status and patient outcome.
Raquel Robalo; Célia Pedroso; Ana Agapito; Augusta Borges
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Publication Detail:
Type:  Journal Article     Date:  2012-11-06
Journal Detail:
Title:  BMJ case reports     Volume:  2012     ISSN:  1757-790X     ISO Abbreviation:  BMJ Case Rep     Publication Date:  2012  
Date Detail:
Created Date:  2012-11-07     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101526291     Medline TA:  BMJ Case Rep     Country:  England    
Other Details:
Languages:  eng     Pagination:  -     Citation Subset:  IM    
Department of Maternal and Fetal Medicine, Maternidade Alfredo da Costa, Centro Hospitalar Lisboa Central, Lisboa, Portugal.
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