Sheehan's syndrome causes: Difference between revisions
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==Overview== | ==Overview== | ||
Common causes of Sheehan's syndrome include massive [[hemorrhage]], [[hypotension]] during [[pregnancy]], vascular compression, and vascular occlusion([[thrombosis]], [[Disseminated intravascular coagulation|DIC]]). Less common causes include vascular insufficiency due to [[Coronary artery bypass surgery|CABG]] in older patients and [[Snake bite (Viperidae)|snake bites]](Russell's viper bites). | Common causes of Sheehan's syndrome include massive [[hemorrhage]], [[hypotension]] during [[pregnancy]], vascular compression, and vascular occlusion([[thrombosis]], [[Disseminated intravascular coagulation|DIC]]). Less common causes include vascular insufficiency due to [[Coronary artery bypass surgery|CABG]] in older patients and [[Snake bite (Viperidae)|snake bites]] (Russell's viper bites). | ||
==Causes== | ==Causes== | ||
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*Massive [[hemorrhage]] during and after pregnancy | *Massive [[hemorrhage]] during and after pregnancy | ||
*Vascular compression due to enlarged [[pituitary gland]] or small and rigid [[sella]] | *Vascular compression due to enlarged [[pituitary gland]] or small and rigid [[sella]] | ||
*[[Vascular]] occlusion([[thrombosis]], [[Disseminated intravascular coagulation|DIC]]) | *[[Vascular]] occlusion ([[thrombosis]], [[Disseminated intravascular coagulation|DIC]]) | ||
===Less Common Causes=== | ===Less Common Causes=== | ||
Less common causes of [[Sheehan's syndrome]] include: | Less common causes of [[Sheehan's syndrome]] include: | ||
*[[Vascular insufficiency|Vascular insufficienc]]<nowiki/>y due to [[Coronary artery bypass surgery|CABG]] in older patients<ref name="pmid9522796">{{cite journal |vauthors=Davies JS, Scanlon MF |title=Hypopituitarism after coronary artery bypass grafting |journal=BMJ |volume=316 |issue=7132 |pages=682–4 |year=1998 |pmid=9522796 |pmc=1112681 |doi= |url=}}</ref> | *[[Vascular insufficiency|Vascular insufficienc]]<nowiki/>y due to [[Coronary artery bypass surgery|CABG]] in older patients<ref name="pmid9522796">{{cite journal |vauthors=Davies JS, Scanlon MF |title=Hypopituitarism after coronary artery bypass grafting |journal=BMJ |volume=316 |issue=7132 |pages=682–4 |year=1998 |pmid=9522796 |pmc=1112681 |doi= |url=}}</ref> | ||
*[[Snake bite (Viperidae)|Snake bites]](Russell's [[viper]] bites) | *[[Snake bite (Viperidae)|Snake bites]] (Russell's [[viper]] bites) | ||
===Genetic Causes=== | ===Genetic Causes=== | ||
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| '''Obstetric/Gynecologic''' | | '''Obstetric/Gynecologic''' | ||
| bgcolor="Beige" | PPH, Traumatic birth delivery | | bgcolor="Beige" | [[PPH]], Traumatic birth delivery | ||
|- | |- | ||
|- bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
Revision as of 14:21, 28 August 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Iqra Qamar M.D.[2]
Overview
Common causes of Sheehan's syndrome include massive hemorrhage, hypotension during pregnancy, vascular compression, and vascular occlusion(thrombosis, DIC). Less common causes include vascular insufficiency due to CABG in older patients and snake bites (Russell's viper bites).
Causes
Life-threatening Causes
Common Causes
Sheehan's syndrome may be caused by:
- Massive hemorrhage during and after pregnancy
- Vascular compression due to enlarged pituitary gland or small and rigid sella
- Vascular occlusion (thrombosis, DIC)
Less Common Causes
Less common causes of Sheehan's syndrome include:
- Vascular insufficiency due to CABG in older patients[2]
- Snake bites (Russell's viper bites)
Genetic Causes
- Sheehan's syndrome is not associated with any genetic mutation.
Causes by Organ System
| Cardiovascular | Hypotension , vascular compression, hemorrhage |
| Chemical/Poisoning | Snake bites |
| Dental | No underlying causes |
| Dermatologic | No underlying causes |
| Drug Side Effect | No underlying causes |
| Ear Nose Throat | No underlying causes |
| Endocrine | No underlying causes |
| Environmental | No underlying causes |
| Gastroenterologic | No underlying causes |
| Genetic | No underlying causes |
| Hematologic | Thrombosis, DIC |
| Iatrogenic | No underlying causes |
| Infectious Disease | No underlying causes |
| Musculoskeletal/Orthopedic | No underlying causes |
| Neurologic | No underlying causes |
| Nutritional/Metabolic | No underlying causes |
| Obstetric/Gynecologic | PPH, Traumatic birth delivery |
| Oncologic | No underlying causes |
| Ophthalmologic | No underlying causes |
| Overdose/Toxicity | No underlying causes |
| Psychiatric | No underlying causes |
| Pulmonary | No underlying causes |
| Renal/Electrolyte | No underlying causes |
| Rheumatology/Immunology/Allergy | Autoimmunity |
| Sexual | No underlying causes |
| Trauma | Traumatic delivery |
| Urologic | No underlying causes |
| Miscellaneous | No underlying causes |
Causes in alphabetical order
- Autoimmunity
- DIC
- Postpartum hemorrhage
- Snake bites
- Small and rigid sella
- Thrombosis
- Traumatic birth delivery
References
- ↑ Matsuzaki S, Endo M, Ueda Y, Mimura K, Kakigano A, Egawa-Takata T, Kumasawa K, Yoshino K, Kimura T (2017). "A case of acute Sheehan's syndrome and literature review: a rare but life-threatening complication of postpartum hemorrhage". BMC Pregnancy Childbirth. 17 (1): 188. doi:10.1186/s12884-017-1380-y. PMC 5471854. PMID 28615049.
- ↑ Davies JS, Scanlon MF (1998). "Hypopituitarism after coronary artery bypass grafting". BMJ. 316 (7132): 682–4. PMC 1112681. PMID 9522796.