A Challenging Diagnosis of Sheehan’s Syndrome in Non-obstetric Critical Care and Emergency Settings: A Case Series of Five Patients with Varied Presentations

1Cooke RT. Simmonds’s Disease due to Post-partum Necrosis of Anterior Pituitary. Br Med J. 1945;2(4423):493-494. Cooke RT Simmonds’s Disease due to Post-partum Necrosis of Anterior Pituitary Br Med J 19452 4423 493 49410.1136/bmj.2.4423.493205994920786336Search in Google Scholar

2Laway BA, Baba MS. Sheehan syndrome. J Pak Med Assoc. 2021;71(4):1282-12568. Laway BA Baba MS Sheehan syndrome J Pak Med Assoc 202171 4 1282 12568Search in Google Scholar

3Jose M, Amir S, Desai R. Chronic Sheehan’s Syndrome - A Differential to be Considered in Clinical Practice in Women with a History of Postpartum Hemorrhage. Cureus. 2019;11(12):e6290. Jose M Amir S Desai R Chronic Sheehan’s Syndrome - A Differential to be Considered in Clinical Practice in Women with a History of Postpartum Hemorrhage Cureus 201911 12 e629010.7759/cureus.6290694250131938584Search in Google Scholar

4Keleştimur F. Sheehan’s syndrome. Pituitary. 2003;6(4):181-188. Keleştimur F Sheehan’s syndrome Pituitary 20036 4 181 18810.1023/B:PITU.0000023425.20854.8eSearch in Google Scholar

5Karaca Z, Laway BA, Dokmetas HS, et al. Sheehan syndrome. Nat Rev Dis Primers. 2016;2:16092. Karaca Z Laway BA Dokmetas HS et al Sheehan syndrome Nat Rev Dis Primers 201621609210.1038/nrdp.2016.9228004764Search in Google Scholar

6Gaspar, Brittany E. Diagnosis and treatment challenges of Sheehan’s syndrome. Front Women’s Health. 2018;3(3):1-5. Gaspar Brittany E Diagnosis and treatment challenges of Sheehan’s syndrome Front Women’s Health 20183 3 1 510.15761/FWH.1000151Search in Google Scholar

7Shivaprasad C. Sheehan’s syndrome: Newer advances. Indian J Endocrinol Metab. 2011;15(Suppl3):S203-207. Shivaprasad C Sheehan’s syndrome: Newer advances Indian J Endocrinol Metab 201115 Suppl3 S203 20710.4103/2230-8210.84869318352522029025Search in Google Scholar

8González-González JG, Borjas-Almaguer OD, Salcido-Montenegro A, et al. Sheehan’s Syndrome Revisited: Underlying Autoimmunity or Hypoperfusion? Int J Endocrinol. 2018;2018:8415860. González-González JG Borjas-Almaguer OD Salcido-Montenegro A et al Sheehan’s Syndrome Revisited: Underlying Autoimmunity or Hypoperfusion? Int J Endocrinol 20182018841586010.1155/2018/8415860584638529681937Search in Google Scholar

9Sethuram R, Guilfoil DS, Amori R, et al. Sheehan Syndrome: An Unusual Presentation Without Inciting Factors. Womens Health Rep (New Rochelle). 2020;1(1):287-292. Sethuram R Guilfoil DS Amori R et al Sheehan Syndrome: An Unusual Presentation Without Inciting Factors Womens Health Rep (New Rochelle) 20201 1 287 29210.1089/whr.2019.0028778480933786491Search in Google Scholar

10de Silva NL, Galhenage J, Dayabandara M, Somasundaram N. Sheehan Syndrome Presenting with Psychotic Manifestations Mimicking Schizophrenia in a Young Female: A Case Report and Review of the Literature. Case Rep Endocrinol. 2020 ;2020:8840938. de Silva NL Galhenage J Dayabandara M Somasundaram N Sheehan Syndrome Presenting with Psychotic Manifestations Mimicking Schizophrenia in a Young Female: A Case Report and Review of the Literature Case Rep Endocrinol 2020 2020884093810.1155/2020/8840938773240733343948Search in Google Scholar

11Diri H, Tanriverdi F, Karaca Z, et al. Extensive investigation of 114 patients with Sheehan’s syndrome: a continuing disorder. Eur J Endocrinol. 2014;171(3):311-318. Diri H Tanriverdi F Karaca Z et al Extensive investigation of 114 patients with Sheehan’s syndrome: a continuing disorder Eur J Endocrinol 2014171 3 311 31810.1530/EJE-14-024424917653Search in Google Scholar

12Du GL, Liu ZH, Chen M, et al. Sheehan’s syndrome in Xinjiang: Clinical characteristics and laboratory evaluation of 97 patients. Hormones (Athens) 2015;14(4):660-667. Du GL Liu ZH Chen M et al Sheehan’s syndrome in Xinjiang: Clinical characteristics and laboratory evaluation of 97 patients Hormones (Athens) 201514 4 660 66710.14310/horm.2002.162426732159Search in Google Scholar

13Sanyal D, Raychaudhuri M. Varied presentations of Sheehan’s syndrome at diagnosis: A review of 18 patients. Indian J Endocrinol Metab. 2012;16(Suppl 2):S300-301. Sanyal D Raychaudhuri M Varied presentations of Sheehan’s syndrome at diagnosis: A review of 18 patients Indian J Endocrinol Metab 201216 Suppl 2 S300 30110.4103/2230-8210.104067360305423565406Search in Google Scholar

14Sert M, Tetiker T, Kirim S, Kocak M. Clinical report of 28 patients with Sheehan’s syndrome. Endocr J 2003;50(3):297-301. Sert M Tetiker T Kirim S Kocak M Clinical report of 28 patients with Sheehan’s syndrome Endocr J 200350 3 297 30110.1507/endocrj.50.29712940458Search in Google Scholar

15Demir AY, Oldenburg-Ligtenberg CP, Toma-Stan BL, van de Wiel A. Misleading normal TSH and persistently elevated creatine kinase: clues to the diagnosis of chronic Sheehan’s syndrome. BMJ Case Rep. 2021;14(8):e243992. Demir AY Oldenburg-Ligtenberg CP Toma-Stan BL van de Wiel A Misleading normal TSH and persistently elevated creatine kinase: clues to the diagnosis of chronic Sheehan’s syndrome BMJ Case Rep 202114 8 e24399210.1136/bcr-2021-243992838826434433531Search in Google Scholar

16Choudhary G, Soni S, Mohammed S. Sheehan’s syndrome: A rare cause of delayed recovery after anesthesia. Journal of Obstetric Anaesthesia and Critical Care. 2020;10(1):58. Choudhary G Soni S Mohammed S Sheehan’s syndrome: A rare cause of delayed recovery after anesthesia Journal of Obstetric Anaesthesia and Critical Care 202010 1 5810.4103/joacc.JOACC_9_19Search in Google Scholar

17Mylliemngap B, Swain S, Vyas S, Kumar P. Myxedema Coma, Pancytopenia, and Hypocoagulopathy: A Rare Presentation of Sheehan’s Syndrome. Indian J Endocrinol Metab. 2019;23(2):268-269. Mylliemngap B Swain S Vyas S Kumar P Myxedema Coma, Pancytopenia, and Hypocoagulopathy: A Rare Presentation of Sheehan’s Syndrome Indian J Endocrinol Metab 201923 2 268 26910.4103/ijem.IJEM_120_19654089731161117Search in Google Scholar

18Khan SA, Lala P, Shullai W, et al. Sheehan’s syndrome: a case report. Int J Reprod Contracept Obstet Gynecol. 2016;5:3221-3223. Khan SA Lala P Shullai W et al Sheehan’s syndrome: a case report Int J Reprod Contracept Obstet Gynecol 201653221 322310.18203/2320-1770.ijrcog20163018Search in Google Scholar

19Therese AM, Uma V. Sheehan’s Syndrome: A Case Study. Red. 2013;2(2). Therese AM Uma V Sheehan’s Syndrome: A Case Study Red 20132 2Search in Google Scholar

20Soresi M, Brunori G, Citarrella R, et al. Late-onset Sheehan’s syndrome presenting with rhabdomyolysis and hyponatremia: a case report. J Med Case Rep. 2013;7:227. Soresi M Brunori G Citarrella R et al Late-onset Sheehan’s syndrome presenting with rhabdomyolysis and hyponatremia: a case report J Med Case Rep 2013722710.1186/1752-1947-7-227384356924083446Search in Google Scholar

21Pokharel S, Jha S, Maskey D, et al. A case report on Sheehan’s syndrome. Journal of Chitwan Medical College. 2013;3(2):49-50. Pokharel S Jha S Maskey D et al A case report on Sheehan’s syndrome Journal of Chitwan Medical College 20133 2 49 5010.3126/jcmc.v3i2.8444Search in Google Scholar