Abstract

FERNANDEZ S, Laura; VIRUEZ-SOTO, J A  and  VERA-CARRASCO, O. Panhypopituitarism secondary to profuse obstetric haemorrhage. Cuad. - Hosp. Clín. [online]. 2020, vol.61, n.2, pp.47-50. ISSN 1562-6776.

Abstract Sheehan syndrome or postpartum pituitary necrosis is the most common cause of hypopituitañsm and occurs secondary to profuse obstetric haemorrhage with subsequent hypovolemic hemorrhagic shock, with intense circulatory collapse, predisposing to pituitary ischemia during delivery or after the same, due to the hypertrophic changes that occur in this gland during pregnancy. In this syndrome exists a reduced secretion of the hormones that regúlate growth, reproduction and metabolism. We present the case of a female patient admitted to the Critical Care Unit after iterative cesarean due to placenta accreta and total hysterectomy, in hypovolemic shock secondary to severe hemorrhage, being suspicious of Sheehan s syndrome, with characteristic clinical features, low hormone levéis and the absence of image in the Turkish chair corresponding to the pituitary necrosis.

Keywords : Adenohypophysis; panhypopituitarism,; obstetric hemorrhage.

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