title: [Sheehan's syndrome after obstetric hemorrhage].
abstract: Sheehan's syndrome is described as panhypopituitarism secondary to a pituitary hypoperfusion during or just after obstetric hemorrhage. Advances in obstetric care make this syndrome quite unusual, but some cases are reported in underdeveloped countries. Clinical presentation may change depending on the severity of the hormone deficiencies. The diagnosis is clinical, but abnormalities are observed in the magnetic resonance in up to 70% of patients. We present a case of a woman with hypotension, hypothermia and edemas in relation to a previous massive postpartum hemorrhage. Failure in lactation was the clue to the diagnosis. A review of its main features, its diagnosis and treatment in the current literature is also presented.
authors.affiliation: Servicio de Anestesiología y Reanimación, Hospital Teresa Herrera, Complejo Hospitalario Universitario de A Coruña, A Coruña, España. Electronic address: lorena.ramos.lopez@sergas.es.
authors.forename: L
authors.initials: L
authors.lastname: Ramos-López
authors.affiliation: Servicio de Anestesiología y Reanimación, Hospital Teresa Herrera, Complejo Hospitalario Universitario de A Coruña, A Coruña, España.
authors.forename: V
authors.initials: V
authors.lastname: Pons-Canosa
authors.affiliation: Servicio de Anestesiología y Reanimación, Hospital Teresa Herrera, Complejo Hospitalario Universitario de A Coruña, A Coruña, España.
authors.forename: J L
authors.initials: JL
authors.lastname: Juncal-Díaz
authors.affiliation: Servicio de Anestesiología y Reanimación, Hospital Teresa Herrera, Complejo Hospitalario Universitario de A Coruña, A Coruña, España.
authors.forename: M B
authors.initials: MB
authors.lastname: Núñez-Centeno
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007018:Hypopituitarism / Q000209:etiology*; D006473:Postpartum Hemorrhage; D011247:Pregnancy
keywords: Glándula pituitaria; Hemorragia posparto; Hipopituitarism; Hipopituitarismo; Pituitary gland; Postpartum hemorrhage; Sheehan's syndrome; Síndrome de Sheehan