Refractory hypotension induced by Sheehan syndrome with pituitary crisis: A case report

Liang,Lu; Liu,Jin‑Bo; Chen,Fu‑Qin; Zhao,Jing; Zhang,Xiao‑Li

doi:10.3892/etm.2017.4188

May-2017 Volume 13 Issue 5

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May-2017 Volume 13 Issue 5

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Case Report Open Access

Refractory hypotension induced by Sheehan syndrome with pituitary crisis: A case report

Authors:
- Lu Liang
- Jin‑Bo Liu
- Fu‑Qin Chen
- Jing Zhao
- Xiao‑Li Zhang
View Affiliations / Copyright

Affiliations: Department of Endocrinology, Qilu Hospital of Shandong University, Jinan, Shandong 250000, P.R. China, Department of Cardiology, Qilu Hospital of Shandong University, Jinan, Shandong 250000, P.R. China

Copyright: © Liang et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
Pages: 2097-2101
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Published online on: March 6, 2017

https://doi.org/10.3892/etm.2017.4188
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Abstract

The present study reported on an unusual case of refractory hypotension induced by Sheehan syndrome with pituitary crisis and explored the causes and treatment of hypotension in hypopiptuitarism. Refractory hypotension is a rare and severe complication of longstanding hypopituitarism induced by Sheehan syndrome with pituitary crisis. A 48‑year‑old Chinese woman with pituitary crisis due to Sheehan syndrome developed refractory hypotension and received longstanding vasopressor blood pressure support and hormone replacement therapy. Besides normalized blood pressure, echocardiography over 3 months revealed partial reversibility of her cardiac function with hormone replacement therapy. Consistent numerous studies reviewed, hormone replacement therapy may improve cardiac function in patients with cardiomyopathy linked to Sheehan syndrome. A retrospective study of 77 cases with hypopituitarism encountered at Qilu Hospital of Shandong University (Jinan, China) was also performed and the incidence rate of hypotension was analyzed, revealing that the present case was the first of refractory hypotension induced by Sheehan syndrome with pituitary crisis at this institution in 16 years.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Refractory hypotension induced by Sheehan syndrome with pituitary crisis: A case report

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