Article Details

2017 | April-June | Issue2
CASE REPORT
A Case of Postoperative Hypotension in a Patient of Sheehan's Syndrome
Shivali Tripathi, Siddharth Shah, Sushil Kumar
10.5005/jp-journals-10036-1148

ABSTRACT

Sheehan’s syndrome is acute infarction and ischemic necrosis of the pituitary gland resulting from postpartum hemorrhage and hypovolumic hypotension. A 45-year-old female para 2 patient was admitted for total abdominal hysterectomy in view of pyometra. Patient was a known case of Sheehan’s syndrome with hypothyroidism. On day 2 of her surgery, she suddenly went into hypotension and tachycardia with electrocardiogram (ECG) finding of T-wave inversion. Biological marker for myocardial infarction namely creatine phosphokinase-MB was normal. The patient was started on hydrocortisone 100 mgintravenous injection thrice a day. Immediately, after the first dose of injection, she became normotensive and the pulse rate settled down. The ECG, taken 24 hours later, was normal.

Keywords: Postoperative hypotension, Postpartum hemorrhage, Sheehan’s syndrome.

How to cite this article: Tripathi S, Shah S, Kumar S. A Case of Postoperative Hypotension in a Patient of Sheehan’s Syndrome. MGM J Med Sci 2017;4(2):100-101.

Source of support: MGMIHS

Conflict of interest: None

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