Post-Partum Hyponatraemia in the Setting of Massive Haemorrh
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Sheehan syndrome (post-partum hypopituitarism) is a rare complication of massive haemorrhage, occurring secondary to infarction of the enlarged pituitary of pregnancy. It is a result of profound hypovolaemic hypotension. The damage may be mild to severe and affect the secretion of one or more hormones. A 30yr old woman, MK, complained of nausea day 8 post massive post-partum haemorrhage (PPH) on a background of elective section for suspected placenta accreta. Despite being clinically stable and prepared for discharge, she was found to be profoundly hyponatraemic on a baseline laboratory screen. MK was transferred to a high acuity unit and a diagnosis of Sheehan’s syndrome was later confirmed. Although clinical presentation of hypopituitarism may be subtle, life-threatening hyponatraemia or ACTH-insufficiency may have catastrophic outcomes if not considered as a potential diagnosis...

http://obstetrics.imedpub.com/postpartum-hyponatraemia-in-the-setting-of-massive-haemorrhage-an-unusual-presentation-of-sheehans-syndrome.php?aid=8604
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