Sheehan’s syndrome with reversible cardiomyopathy: a case report

Dr. K.B.R. SASTRY; Dr. SUNIL KUMAR; Dr. P. ANURADHA; Dr. M.A. MUJEEB AFZAL; Dr. P. PRIYADARSHINI

Volume : V, Issue : X, October - 2015

Sheehan’s syndrome with reversible cardiomyopathy: a case report

Dr. K. B. R. Sastry, Dr. Sunil Kumar, Dr. P. Anuradha, Dr. M. A. Mujeeb Afzal, Dr. P. Priyadarshini

Abstract :

Sheehan’s syndrome is postpartum pituitary apoplexy leading to panhypopituitarism which can occur as acute syndrome in the immediate postpartum period or may take some time to manifest as a chronic syndrome. A 34–year–old woman presented with eathlessness, generalized anasarca, features of hypothyroidism with past history of lactation failure, secondary amenorrhea, and a hypocortisol state following severe postpartum hemorrhage after her last twin child birth with obstructed labour of the second twin delivery at home. Hormonal investigations showed evidence of panhypopituitarism and magnetic resonance imaging revealed empty sella. Meanwhile echocardiography revealed evidence of dilated cardiomyopathy (DCM). The patient was given replacement therapy in the form of glucocorticoids and levothyroxine. She improved and on follow–up over a period of 4 months, the DCM completely reversed. There are very few other such reports of reversible DCM in a patient with Sheehan syndrome.