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

  • Published online on: March 6, 2017     https://doi.org/10.3892/etm.2017.4188
  • Pages: 2097-2101
  • Copyright: © Liang et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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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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May-2017
Volume 13 Issue 5

Print ISSN: 1792-0981
Online ISSN:1792-1015

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Spandidos Publications style
Liang L, Liu JB, Chen FQ, Zhao J and Zhang XL: Refractory hypotension induced by Sheehan syndrome with pituitary crisis: A case report. Exp Ther Med 13: 2097-2101, 2017.
APA
Liang, L., Liu, J., Chen, F., Zhao, J., & Zhang, X. (2017). Refractory hypotension induced by Sheehan syndrome with pituitary crisis: A case report. Experimental and Therapeutic Medicine, 13, 2097-2101. https://doi.org/10.3892/etm.2017.4188
MLA
Liang, L., Liu, J., Chen, F., Zhao, J., Zhang, X."Refractory hypotension induced by Sheehan syndrome with pituitary crisis: A case report". Experimental and Therapeutic Medicine 13.5 (2017): 2097-2101.
Chicago
Liang, L., Liu, J., Chen, F., Zhao, J., Zhang, X."Refractory hypotension induced by Sheehan syndrome with pituitary crisis: A case report". Experimental and Therapeutic Medicine 13, no. 5 (2017): 2097-2101. https://doi.org/10.3892/etm.2017.4188