Myxoedemic coma: an uncommon presentation of Sheehan syndrome

Authors

  • Ramakant Rawat Department of Medicine, UP RIMS & R Saifai, Etawah, U. P.
  • Rajani Rawat Department of Obstetrics & Gynaecology, UP RIMS & R Saifai, Etawah, U. P.
  • P. S. Singh Department of Medicine, UP RIMS & R Saifai, Etawah, U. P.
  • Manoj Kumar Department of Medicine, UP RIMS & R Saifai, Etawah, U. P.

Keywords:

Sheehan’s syndrome, Hyponatremia, Myxoedemic coma

Abstract

This is a rare case of a 35 year old multiparous female who presented with electrolyte abnormality, hyponatremia in a setting of seizure and moderate pallor. She had a significant past history of childbirth complicated with post-partum haemorrhage after which she developed secondary amenorrhoea and lactation failure. Workup showed suppressed levels of all pituitary hormones and was treated as myxoedemic coma. A diagnosis of Sheehan’s syndrome presenting as myxoedemic coma - a rare but emergency presentation was made.

References

Kelestimur F. Sheehan syndrome. Pituitary. 2003;6(4):181-8.

Gei-Guardia O, Soto-Herrera E, Gei-Brealey, Chen-Ku CH. Sheehan’s syndrome in Costa Rica: clinical experience with 60 cases. Endocr Pract. 2011 May-Jun;17(3):337-44.

Singhania P, Singh S, Banerjee R, Singhania B, Banerjee I, Maitra S. Hyponatremia: a rare and emergency presentation of Sheehan’s Syndrome. Pak J Med Sci. 2010;26(3):713-5.

Squadrito S, Saparito F et al. Myxoedemic coma of both primary and secondary origin with non-classic presentation. Horm Metab Res. 2000 Sep;32(9):364-6.

Downloads

Published

2017-01-24

How to Cite

Rawat, R., Rawat, R., Singh, P. S., & Kumar, M. (2017). Myxoedemic coma: an uncommon presentation of Sheehan syndrome. International Journal of Research in Medical Sciences, 2(3), 1151–1153. Retrieved from https://www.msjonline.org/index.php/ijrms/article/view/2373