Acute Sheehan syndrome following massive postpartum hemorrhage due to vulvar hematoma
Acute Sheehan syndrome appearing within 6 weeks postpartum is a rare form of hypopituitarism caused by postpartum hemorrhage. A 37-year-old Japanese woman experienced a vulvar hematoma after spontaneous labor at 40 weeks gestation, leading to massive postpartum hemorrhage (estimated total blood loss...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-11-01
|
| Series: | AJOG Global Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666577824000935 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846122045717348352 |
|---|---|
| author | Wataru Saito, MD Kuniaki Ota, MD, PhD Toshifumi Takahashi, MD, PhD Mika Sugihara, MD, PhD Takehiko Matsuyama, MD, PhD Yoshiaki Ota, MD, PhD Koichiro Shimoya, MD, PhD |
| author_facet | Wataru Saito, MD Kuniaki Ota, MD, PhD Toshifumi Takahashi, MD, PhD Mika Sugihara, MD, PhD Takehiko Matsuyama, MD, PhD Yoshiaki Ota, MD, PhD Koichiro Shimoya, MD, PhD |
| author_sort | Wataru Saito, MD |
| collection | DOAJ |
| description | Acute Sheehan syndrome appearing within 6 weeks postpartum is a rare form of hypopituitarism caused by postpartum hemorrhage. A 37-year-old Japanese woman experienced a vulvar hematoma after spontaneous labor at 40 weeks gestation, leading to massive postpartum hemorrhage (estimated total blood loss of 3,000 mL). Despite successful cesarean delivery and hematoma drainage, she presented 28 days postpartum with anorexia, fatigue, and hyponatremia after initial recovery. MRI revealed a swollen pituitary gland with subacute hemorrhage, confirming the diagnosis. Hormonal replacement therapy with levothyroxine, hydrocortisone, estrogen, and progesterone was initiated. This is the first reported case of acute Sheehan syndrome following a vulvar hematoma, a condition typically not considered a risk factor for this syndrome. The case highlights the importance of considering rare complications like acute Sheehan syndrome in patients with massive postpartum hemorrhage, even when the pathogenesis is clinically common, such as vulvar hematomas. |
| format | Article |
| id | doaj-art-c302057af6b944f5a088a458d36de2b5 |
| institution | Kabale University |
| issn | 2666-5778 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | AJOG Global Reports |
| spelling | doaj-art-c302057af6b944f5a088a458d36de2b52024-12-15T06:17:14ZengElsevierAJOG Global Reports2666-57782024-11-0144100399Acute Sheehan syndrome following massive postpartum hemorrhage due to vulvar hematomaWataru Saito, MD0Kuniaki Ota, MD, PhD1Toshifumi Takahashi, MD, PhD2Mika Sugihara, MD, PhD3Takehiko Matsuyama, MD, PhD4Yoshiaki Ota, MD, PhD5Koichiro Shimoya, MD, PhD6Department of Obstetrics and Gynecology, Kawasaki Medical School, Okayama, Japan (Saito, Ota, Sugihara, Ota, and Shimoya)Department of Obstetrics and Gynecology, Kawasaki Medical School, Okayama, Japan (Saito, Ota, Sugihara, Ota, and Shimoya); Fukushima Medical Center for Children and Women, Fukushima Medical University, Fukushima, Japan (Ota and Takahashi); Corresponding author: Kuniaki Ota, MD, PhDFukushima Medical Center for Children and Women, Fukushima Medical University, Fukushima, Japan (Ota and Takahashi)Department of Obstetrics and Gynecology, Kawasaki Medical School, Okayama, Japan (Saito, Ota, Sugihara, Ota, and Shimoya)Department of Obstetrics and Gynecology, Koujin Hospital, Kagawa, Japan (Matsuyama)Department of Obstetrics and Gynecology, Kawasaki Medical School, Okayama, Japan (Saito, Ota, Sugihara, Ota, and Shimoya)Department of Obstetrics and Gynecology, Kawasaki Medical School, Okayama, Japan (Saito, Ota, Sugihara, Ota, and Shimoya)Acute Sheehan syndrome appearing within 6 weeks postpartum is a rare form of hypopituitarism caused by postpartum hemorrhage. A 37-year-old Japanese woman experienced a vulvar hematoma after spontaneous labor at 40 weeks gestation, leading to massive postpartum hemorrhage (estimated total blood loss of 3,000 mL). Despite successful cesarean delivery and hematoma drainage, she presented 28 days postpartum with anorexia, fatigue, and hyponatremia after initial recovery. MRI revealed a swollen pituitary gland with subacute hemorrhage, confirming the diagnosis. Hormonal replacement therapy with levothyroxine, hydrocortisone, estrogen, and progesterone was initiated. This is the first reported case of acute Sheehan syndrome following a vulvar hematoma, a condition typically not considered a risk factor for this syndrome. The case highlights the importance of considering rare complications like acute Sheehan syndrome in patients with massive postpartum hemorrhage, even when the pathogenesis is clinically common, such as vulvar hematomas.http://www.sciencedirect.com/science/article/pii/S2666577824000935acute Sheehan syndromehypopituitarismpostpartum hemorrhagevulvar hematoma |
| spellingShingle | Wataru Saito, MD Kuniaki Ota, MD, PhD Toshifumi Takahashi, MD, PhD Mika Sugihara, MD, PhD Takehiko Matsuyama, MD, PhD Yoshiaki Ota, MD, PhD Koichiro Shimoya, MD, PhD Acute Sheehan syndrome following massive postpartum hemorrhage due to vulvar hematoma AJOG Global Reports acute Sheehan syndrome hypopituitarism postpartum hemorrhage vulvar hematoma |
| title | Acute Sheehan syndrome following massive postpartum hemorrhage due to vulvar hematoma |
| title_full | Acute Sheehan syndrome following massive postpartum hemorrhage due to vulvar hematoma |
| title_fullStr | Acute Sheehan syndrome following massive postpartum hemorrhage due to vulvar hematoma |
| title_full_unstemmed | Acute Sheehan syndrome following massive postpartum hemorrhage due to vulvar hematoma |
| title_short | Acute Sheehan syndrome following massive postpartum hemorrhage due to vulvar hematoma |
| title_sort | acute sheehan syndrome following massive postpartum hemorrhage due to vulvar hematoma |
| topic | acute Sheehan syndrome hypopituitarism postpartum hemorrhage vulvar hematoma |
| url | http://www.sciencedirect.com/science/article/pii/S2666577824000935 |
| work_keys_str_mv | AT watarusaitomd acutesheehansyndromefollowingmassivepostpartumhemorrhageduetovulvarhematoma AT kuniakiotamdphd acutesheehansyndromefollowingmassivepostpartumhemorrhageduetovulvarhematoma AT toshifumitakahashimdphd acutesheehansyndromefollowingmassivepostpartumhemorrhageduetovulvarhematoma AT mikasugiharamdphd acutesheehansyndromefollowingmassivepostpartumhemorrhageduetovulvarhematoma AT takehikomatsuyamamdphd acutesheehansyndromefollowingmassivepostpartumhemorrhageduetovulvarhematoma AT yoshiakiotamdphd acutesheehansyndromefollowingmassivepostpartumhemorrhageduetovulvarhematoma AT koichiroshimoyamdphd acutesheehansyndromefollowingmassivepostpartumhemorrhageduetovulvarhematoma |