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Microprolactinoma in a Woman with Sheehan’s Syndrome

Journal: Austin Journal of Clinical Case Reports (Vol.1, No. 4)

Publication Date:

Authors : ;

Page : 1-3

Keywords : Sheehan’s Syndrome; Hyperprolactinemia; Gonadotrophins Microprolactinoma;

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A 24 year old woman presented with amenorrhoea and inability to conceive. One and a half year back she had an episode of massive antepartum haemorrhage. Endocrinal work up revealed deficiency of gonadotrophins, central hypothyroidism and paradoxically a very high level of serum prolactin, thus diagnosed as a case of Sheehan’s syndrome with hyperprolactinemia. Magnetic resonance imaging revealed a microadenoma of the pituitary gland. She was treated with thyroxine replacement, dopamine agonist cabergoline and cyclic estrogen and progesterone therapy. Ovulation was augmented with clomiphene citrate. She conceived and a small for gestational age baby was delivered with no apparent anomalies. Postnatally she had adequate lactation contrary to most women with postpartum hypopitiutarism.

Last modified: 2016-07-25 19:56:15