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Formerly Journal of Turgut Ozal Medical Center - ISSN 1300-1744

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A severe adrenal crisis occurred in late diagnosed Sheehan’s syndrome developed in a 17-year-old woman (p.2196-9)

A severe adrenal crisis occurred in late diagnosed Sheehan’s syndrome developed in a 17-year-old woman (p.2196-9)

Nurhayat Ozkan Sevencan, Seda Erem Basmaz, Aysegul Ertinmaz Ozkan, Burcak Kayhan
Department of Internal Medicine, Medicine Faculty, Karabuk University, Karabuk, Turkey
Copyright © 2020 by authors and Annals of Medical Research Publishing Inc.

Abstract

Sheehan’s syndrome occurs as a result of severe postpartum hemorrhage and is characterized by varying degrees of anterior pituitary dysfunction. It is an important health problem especially for women who deliver at home in developing countries. In this report, we presented a 17-year-old female patient who gave her second birth at home. During her delivery severe vaginal hemorrhage occurred and she applied to a healthcare facility too late. Since then, she hasn’t had menstruation and hasn’t been able to get pregnant. She was diagnosed with Sheehan’s syndrome 16 years after giving birth. The patient didn’t use her medicine regularly after the diagnosis because she wasn’t properly informed about the disease, and she has stopped taking it for the last six months. In the current conditions; the 69-year-old patient is presented with hypocortisolemia, hypoglycemia, hyponatremia, and advanced osteoporosis. The patient with severe adrenal crisis was taken in treatment by us. 

Keywords: Sheehan’s syndrome; adrenal crisis; hypocortisolemia; hypoglycemia; hyponatremia; osteoporosis  

 

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doi: 10.5455/annalsmedres.2020.03.254  

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Annals of Medical Research is the scientific official journal of the Inonu University Faculty of Medicine. It is published monthly. The essential aim of the Annals of Medical Research is to publish scientifically high quality clinical and experimental research articles on fields of medicine which can contribute to the literature data. In addition, review articles, case reports, editorials, letters to the editors and manuscripts on publication ethics and medical history, which can contribute to the education and practices of physicians and health sector professionals within the scope of the journal’s target audience and which can increase the level of scientific communication between the authors and readers, are included in the scope of the journal.

 

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