Critical Care Obstetrics and Gynecology

Post-Partum Hyponatraemia in the Setting of Massive Haemorrhage: An Unusual Presentation of Sheehan’s Syndrome

A 30yr old woman, MK, complained of nausea day 8 post massive post-partum haemorrhage (PPH) on a background of elective section for suspected placenta accreta. Despite being clinically stable and prepared for discharge, she was found to be profoundly hyponatraemic on a baseline laboratory screen. MK was transferred to a high acuity unit and a diagnosis of Sheehan’s syndrome was later confirmed. Although clinical presentation of hypopituitarism may be subtle, life-threatening hyponatraemia or ACTH-insufficiency may have catastrophic outcomes if not considered as a potential diagnosis.

Author(s):

Ronit L Cukierman, Kym T. Jones, M. Epee-Bekima and Timothy Phillips

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