DOI: 10.36347/sjmcr.2018.v06i12.023

Pages: 1081-1083

Sheehan’s syndrome is a disease of difficult and usually late diagnosis. It occurs as a result of ischemic pituitary necrosis due to severe postpartum hemorrhage. We report an atypical observation showing a disconcerting way of revelation of this syndrome. A patient treated as multifocal tuberculosis suspected in the presence of alveolar lung disease, pericardial effusion and altered general status. It was only when there was intolerance to antibacillary treatment that the patient was hospitalized with a rectification of the diagnosis. Our attention was drawn to the existence of clinical signs of hypopituitarism. Examination revealed a secondary amenorrhea for 20 years following a haemorrhagic delivery. The patient was placed under substitutive treatment based on hydrocortisone and L-thyroxyne with a very good evolution. Sheehan’s syndrome is a common cause of hypopituitarism in developing countries. Our observation illustrates the value of careful examination in the context of this difficult and late diagnostic pathology. Its inexpensive treatment is effective and avoids a dramatic evolution and sometimes serious complications.