title: A case report of Sheehan's syndrome with acute onset, hyponatremia and severe anemia.
abstract: Sheehan's syndrome is a well-known cause of panhypopituitarism secondary to pituitary apoplexy, that generally occurs after an intra- or postpartum bleeding episode characterized by severe hypertension or hemorrhagic shock. The diagnosis can be difficult and is often formulated after some years from the syndrome occurrence. We report the case of a woman with an early diagnosis of early-onset Sheehan's syndrome associated with severe hyponatremia following dystocic childbirth complicated by postpartum hemorrhage.
authors.affiliation: Department of Gynecology, Obstretrics and Neonatology, University of Parma, University Hospital of Parma, Italy. sa.anfuso@tiscali.it
authors.forename: Salvatore
authors.initials: S
authors.lastname: Anfuso
authors.forename: Tito Silvio
authors.initials: TS
authors.lastname: Patrelli
authors.forename: Emanuele
authors.initials: E
authors.lastname: Soncini
authors.forename: Paolo
authors.initials: P
authors.lastname: Chiodera
authors.forename: Giovanni Maria
authors.initials: GM
authors.lastname: Fadda
authors.forename: Giovanni Battista
authors.initials: GB
authors.lastname: Nardelli
mesh_terms: D000328:Adult; D000740:Anemia / Q000209:etiology*; D005260:Female; D006801:Humans; D007010:Hyponatremia / Q000209:etiology*; D007018:Hypopituitarism / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D011644:Puerperal Disorders / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy