Journal of Obstetric Anaesthesia and Critical Care

CASE REPORT
Year
: 2020  |  Volume : 10  |  Issue : 1  |  Page : 58--60

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


Garima Choudhary1, Shikha Soni2, Sadik Mohammed3 
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

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.


How to cite this article:
Choudhary G, Soni S, Mohammed S. Sheehan's syndrome: A rare cause of delayed recovery after anesthesia.J Obstet Anaesth Crit Care 2020;10:58-60


How to cite this URL:
Choudhary G, Soni S, Mohammed S. Sheehan's syndrome: A rare cause of delayed recovery after anesthesia. J Obstet Anaesth Crit Care [serial online] 2020 [cited 2020 Sep 22 ];10:58-60
Available from: http://www.joacc.com/article.asp?issn=2249-4472;year=2020;volume=10;issue=1;spage=58;epage=60;aulast=Choudhary;type=0