Acute Pancreatitis Complicated by Sheehan's Syndrome: A Case Report and Literature Review

Liu Dasheng; Liu Li; Gan Feng; Wu Xianlin; Ye Gang

doi:10.24920/003574

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Acute Pancreatitis Complicated by Sheehan's Syndrome: A Case Report and Literature Review

Chinese Medical Sciences Journal Vol. 35, Issue 1, Pages: 95-100(2020)

Case Report | Updated：2024-04-10

- Acute Pancreatitis Complicated by Sheehan's Syndrome: A Case Report and Literature Review
- Affiliations：
  
  1Department of Vascular and Thyroid Surgery, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou 510120, China
  2Outpatient Department, Guangzhou 510632, China
  3School of Chemistry and Chemical Engineering, Sun Yat-Sen University, Guangzhou 510275, China
  4Center for Diagnosis and Treatment of Pancreatic Disease, Guangzhou 510632, China
  5Department of Gastroenterology, The First Affiliated Hospital of Jinan University, Guangzhou 510632, China
- Author bio：
  
  * E-mail: dr.yegang@qq.com
- Funds：
- DOI：10.24920/003574
  CLC：
- Received：18 May 2019，
  
  Published Online：31 March 2020，
  
  Published：20 February 2020
- Accepted：
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Liu Dasheng, Liu Li, Gan Feng, et al. Acute Pancreatitis Complicated by Sheehan's Syndrome: A Case Report and Literature Review[J]. Chinese medical sciences journal, 2020, 35(1): 95-100.
DOI：

Liu Dasheng, Liu Li, Gan Feng, et al. Acute Pancreatitis Complicated by Sheehan's Syndrome: A Case Report and Literature Review[J]. Chinese medical sciences journal, 2020, 35(1): 95-100. DOI： 10.24920/003574.

摘要

44岁女性因持续上腹部疼痛2天和意识障碍7小时被转入暨南大学附属第一医院ICU

入院诊断为严重急性坏死性胰腺炎（高甘油三酯血症型）并发多器官功能障碍。CT检查结果仅提示小面积坏死胰腺炎

与临床表现不符合

结合患者全身毛发稀少、产后大出血既往史、及激素检查结果

患者被诊断为希汉氏综合症和垂体功能危象。给予激素替代治疗之后

患者病情迅速好转。

Abstract

A 44-year-old woman was transferred to the ICU of the First Affiliated Hospital of Jinan University for 2 days of persistent epigastric pain and 7 hours of unconsciousness. Her admission diagnosis was severe acute necrotizing pancreatitis (hypertriglyceridemia type) with multiple organ dysfunctions. The results of CT revealed a small area of necrotizing pancreatitis

which was not consistent with the severe clinical manifestations. Considering lack of hair and history of postpartum hemorrhage

hormone examination was carried out. According to the results of the examination

she was further diagnosed as Sheehan’s syndrome and pituitary crisis. After hormone replacement therapy

her condition improved rapidly.

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references

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