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Journal of Obstrectic Anaesthesia and Critical Care
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CASE REPORT
Year : 2020  |  Volume : 10  |  Issue : 1  |  Page : 58-60

Sheehan's syndrome: A rare cause of delayed recovery after anesthesia


1 Senior Resident, AIIMS, Jodhpur, Rajasthan, India
2 Assistant Professor, DR S. N. Medical College, Uttar Pradesh, India
3 Associate Professor, AIIMS, Jodhpur, Rajasthan, India

Correspondence Address:
Dr. Garima Choudhary
PG Hostel, AIIMS Campus, AIIMS Jodhpur, Rajasthan
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/joacc.JOACC_9_19

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Sheehan's syndrome (SS) or adenohypophyseal insufficiency is a rare but known complication of postpartum hemorrhage (PPH). It develops as result of ischemic pituitary necrosis secondary to a brutal and extended shock due to obstetric hemorrhage. The clinical presentation of this syndrome is variable and marked with abrupt or insidiously developing pituitary insufficiency. We report a case of 35-year-old female scheduled for laparoscopic appendicectomy under general anesthesia who developed delayed recovery. Proper history revealed that patient had history of severe PPH and was amenorrheic after that for last 4 years. Investigation revealed that pan hypopituitarism and neuroimaging (magnetic resonance imaging) showed reduced pituitary size. Replacement of deficient hormone leads to recovery and weaning from mechanical ventilation.


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