Navigating Sheehan syndrome's silent onset: A case report

Abstract

Sheehan syndrome is a relatively rare complication of postpartum bleeding that mostly results from anterior pituitary impairment caused by ischemic necrosis. This report highlights a unique case of a 58-year-old female suffering from Sheehan syndrome presenting with recurrent episodes of vomiting, abdominal pain, and drowsiness. Laboratory investigations confirmed hyponatremia, hypoglycemia, hypocortisolism, and secondary hypothyroidism. MRI scans revealed a partially empty sella. Prompt treatment with sodium supplementation, levothyroxine, and hydrocortisone led to significant improvement in the patient's condition. This case underscores the critical importance of early recognition and comprehensive diagnostic approaches to optimize management. It also highlights the need for increased medical awareness and tailored treatments to enhance outcomes and prevent complications in Sheehan syndrome.

Keywords

• Empty sella
• Hyponatremia
• Ischemic necrosis
• Pituitary impairment
• Postpartum bleeding
• Sheehan syndrome