• J Clin Anesth · Aug 2011

    Case Reports

    Acute hypopituitarism in a pregnant patient after cardiac gunshot injury.

    • José L Díaz-Gómez, Todd Seigel, Ulrich Schmidt, Richard M Pino, and Edward A Bittner.
    • Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA 02114, USA.
    • J Clin Anesth. 2011 Aug 1;23(5):414-7.

    AbstractSheehan's syndrome is a well described entity that refers to hypopituitarism with pituitary infarction secondary to postpartum shock or hemorrhage. Antepartum pituitary infarction is a very rare condition that has been reported only in patients with longstanding type 1 diabetes mellitus or uncontrolled gestational diabetes. A case of severe, acute hypopituitarism in the setting of hemorrhagic shock from a gunshot wound is presented. Our case report highlights the importance of including hypopituitarism in the differential diagnosis of a critically ill parturient.Copyright © 2011 Elsevier Inc. All rights reserved.

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