title: Delayed presentation of Sheehan's syndrome: a case report.
abstract: Sheehan's syndrome, though rare, is still one of the commonest causes of hypopituitarism in developing countries like ours. The clinical presentation is variable with abrupt or insidiously developing pituitary insufficiency after a heavy intrapartum or postpartum haemorrhage. We present an elderly lady with this syndrome who had slowly progressive panhypopituitarism 24 years after a severe haemorrhage associated with the delivery of triplets.
authors.affiliation: Dept. of Medicine, Patan Hospital, Lalitpur. buddhipaudyal@yahoo.com
authors.forename: B P
authors.initials: BP
authors.lastname: Paudyal
mesh_terms: D000368:Aged; D004652:Empty Sella Syndrome / Q000175:diagnosis / Q000209:etiology; D005260:Female; D006801:Humans; D007018:Hypopituitarism / Q000175:diagnosis*; D008279:Magnetic Resonance Imaging; D006473:Postpartum Hemorrhage; D011247:Pregnancy; D013997:Time Factors