Case report: severe hypoglycaemia as a late manifestation of Sheehan's syndrome

Abstract

Background: Sheehan's syndrome is a hypopituitarism secondary to necrosis of the pituitary gland caused by massive postpartum bleeding. The presentation is frequently amenorrhea and agalactia; hypoglycemia as a solitary presentation is uncommon. Case report: 68-year-old female with a history of postpartum hemorrhage 35 years ago. She had two episodes of hypoglycemia. During her hospital stay, panhypopituitarism was detected and the empty sella was confirmed by magnetic resonance imaging. Conclusions: It is recommended that medical personnel suspect Sheehan's syndrome in any woman with nonspecific hypoglycemia and no history of chronic degenerative disease.