Acta Scientific Clinical Case Reports

Case ReportVolume 4 Issue 3

Anesthetic Concerns in a Patient with Sheehan’s Syndrome Posted for Elective Surgery

Imran Ahmed Khan1, Ajay Shukla2, Ashutosh Mall2, Abu Bashar3* and Bhartendra Jain2

1BRD Medical College, Gorakhpur (U.P.), India
2City Hospital, Gorakhpur (U.P.), India
3Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences(AIIMS), Gorakhpur (U.P.), India

*Corresponding Author: MD Abu Bashar, Assistant Professor, Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences (AIIMS), Gorakhpur (U.P.), India.

Received: January 30, 2023; Published: February 13, 2023

Abstract

Sheehan’s syndrome (SS) most commonly occurs in young females who are at high risk of developing medical and obstetric complications. It is characterized by varying degree of hypothyroidism and usually develops as a result of ischemic pituitary necrosis subsequent to severe postpartum hemorrhage in them. Absence of lactation and failure of menstrual cycle resumption after delivery which was complicated with severe intrapartum hemorrhage are some of the important clues in diagnosing SS. A patient with the disease being posted for an elective surgery may pose a challenge for the anesthesia team if it remains undiagnosed. Adequate preoperative optimization and preparation should be considered before anesthesia and surgery in such cases.

Keywords: Young Women; Pituitary Necrosis; Sheehan’s Syndrome; Postpartum Haemorrhage; Anesthesia

Bibliography

  1. Goswami R., et al. “Pituitary autoimmunity in patients with Sheehan’s syndrome”. The Journal of Clinical Endocrinology and Metabolism 9 (2002): 4137-4141.
  2. Kilicli F., et al. “Sheehan's syndrome”. Gynecology and Endocrinology4 (2013): 292-295.
  3. Wilson AM. “Anaesthesia for Sheehan's syndrome. A case report”. British Journal of Anesthesia 40 (1968): 996-998.
  4. Matsuzaki S., et al. “A case of acute Sheehan's syndrome and literature review: A rare but life-threatening complication of postpartum hemorrhage”. BMC Pregnancy Childbirth 17 (2017): 188.
  5. Tessnow AH and Wilson JD. “The changing face of Sheehan’s syndrome”. The American Journal of the Medical Sciences5 (2010): 402-406.
  6. Khan IA and Singh SK. “Efficacy, Safety And Patient Satisfaction Of A Simple Combination Of Readily Available Medications (Shiv-mix) For Perioperative Analgesia, Hemodynamic Stability And Postoperative Recovery Profile: Case Series And Narrative On Opioid Free Anaesthesia (OFA) In Spine Surgeries”. Journal of Anaesthesia and Critical Care Case Reports1 (2020): 13-18.
  7. Keleştimur F. “Sheehan's syndrome”. Pituitary4 (2003): 181-188.
  8. Atmaca H., et al. “Posterior pituitary function in Sheehan’s syndrome”. European Journal of Endocrinology 5 (2007): 563-567.
  9. Laway BA., et al. “Prevalence of hematological abnormalities in patients with Sheehan’s syndrome: response to replacement of glucocorticoids and thyroxine”. Pituitary 1 (2011): 39-43.
  10. Gokalp D., et al. “Sheehan’s syndrome as a rare cause of anaemia secondary to hypopituitarism”. Annals of Hematology5 (2009): 405-410.
  11. Gokalp D., et al. “Sheehan's syndrome and its impact on bone mineral density”. Gynecological Endocrinology5 (2009): 344-349.
  12. Chihaoui M., et al. “Bone mineral density in Sheehan's syndrome; prevalence of low bone mass and associated factors”. Journal of Clinical Densitometry4 (2016): 413-418.
  13. Choudhary G., et al. “Sheehan's syndrome: A rare cause of delayed recovery after anesthesia”. Journal of Obstetric Anaesthesia and Critical Care1 (2020): 58.
  14. Arora G and Sahni N. “Anesthetic management of a patient with Sheehan's syndrome and twin pregnancy while undergoing a cesarean section”. Journal of Postgraduate Medicine1 (2020): 51.

Citation: Imran Ahmed Khan., et al. “Anesthetic Concerns in a Patient with Sheehan’s Syndrome Posted for Elective Surgery". Acta Scientific Clinical Case Reports 4.3 (2023): 23-25.

Copyright: © 2022 Imran Ahmed Khan.,et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is July 10, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US