Adan Abdisamad Mohamed, Jeele Mohamed Osman Omar, Siyad Mohamed Osman, Adani Abdulkamil Abdullahi, Odowa Mohamed Adan
Department of Internal Medicine, Mogadishu- Somali Turkish Training and Research Hospital, Mogadishu, Somalia.
Ann Med Surg (Lond). 2022 Sep 13;82:104641. doi: 10.1016/j.amsu.2022.104641. eCollection 2022 Oct.
Sheehan syndrome (SS) is one of the most common causes of pituitary gland dysfunction in childbearing women and occurs as a result of ischemic pituitary necrosis due to severe postpartum hemorrhage. Rhabdomyolysis is a pathological condition of the skeletal muscles that can be present in the setting of adrenal insufficiency. It can cause serious end-organ complications such as acute renal failure. The combination of adrenal insufficiency due to Sheehan syndrome, rhabdomyolysis, and acute renal failure is extremely rare in the literature. In this case report, we present a 35-year-old female patient who presented with acute renal failure and was later diagnosed with Sheehan syndrome. She was put on Intravenous fluids, methylprednisolone, and levothyroxine treatment. The patient was hospitalized for 10 days and was discharged in good health.
席汉综合征（SS）是育龄期女性垂体功能障碍最常见的原因之一，由严重产后出血导致垂体缺血性坏死引起。横纹肌溶解是骨骼肌的一种病理状态，可出现在肾上腺功能不全的情况下。它可导致严重的终末器官并发症，如急性肾衰竭。席汉综合征所致肾上腺功能不全、横纹肌溶解和急性肾衰竭同时出现的情况在文献中极为罕见。在本病例报告中，我们介绍了一名35岁的女性患者，她因急性肾衰竭就诊，后来被诊断为席汉综合征。她接受了静脉输液、甲泼尼龙和左甲状腺素治疗。患者住院10天，出院时身体健康。
