title: Sheehan's syndrome with pancytopenia: a case report and review of the literature.
abstract: BACKGROUND
  Sheehan's syndrome is defined by varying degrees of anterior pituitary deficiency due to postpartum ischemic necrosis of the pituitary gland after massive bleeding. It is a rare disorder in western countries and even in Tunisia. Hematologic abnormalities such as normochromic anemia have been reported in these patients. However, pancytopenia is rarely observed.
  
  
  METHODS
  We describe the case of a 48-year-old Tunisian woman with features of hypopituitarism. Laboratory tests showed pancytopenia that was completely reversed after adequate hormone replacement.
  
  
  CONCLUSIONS
  Clinicians should consider the possibility of hypopituitarism as a cause of pancytopenia. This is an original case report that is of interest to hematologists, who should be aware of Sheehan's syndrome as a treatable etiology of pancytopenia for women.
authors.affiliation: Endocrinology Department, Hedi Chaker Hospital, (3029) Sfax, Tunisia. elleuch_mouna@yahoo.fr.
authors.forename: Mnif
authors.initials: M
authors.lastname: Fatma
authors.forename: Elleuch
authors.initials: E
authors.lastname: Mouna
authors.forename: Rekik
authors.initials: R
authors.lastname: Nabila
authors.forename: Mnif
authors.initials: M
authors.lastname: Mouna
authors.forename: Charfi
authors.initials: C
authors.lastname: Nadia
authors.forename: Abid
authors.initials: A
authors.lastname: Mohamed