title: Acute hypopituitarism in a pregnant patient after cardiac gunshot injury.
abstract: Sheehan's syndrome is a well described entity that refers to hypopituitarism with pituitary infarction secondary to postpartum shock or hemorrhage. Antepartum pituitary infarction is a very rare condition that has been reported only in patients with longstanding type 1 diabetes mellitus or uncontrolled gestational diabetes. A case of severe, acute hypopituitarism in the setting of hemorrhagic shock from a gunshot wound is presented. Our case report highlights the importance of including hypopituitarism in the differential diagnosis of a critically ill parturient.
authors: Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA 02114, USA.
authors: José L
authors: JL
authors: Díaz-Gómez
authors: Todd
authors: T
authors: Seigel
authors: Ulrich
authors: U
authors: Schmidt
authors: Richard M
authors: RM
authors: Pino
authors: Edward A
authors: EA
authors: Bittner
mesh_terms: D000208:Acute Disease; D000328:Adult; D005260:Female; D006801:Humans; D007018:Hypopituitarism / Q000209:etiology*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology; D012720:Severity of Illness Index; D012771:Shock, Hemorrhagic / Q000209:etiology*; D014948:Wounds, Gunshot / Q000150:complications*