Korean J Med.
2009 Jan;76(1):78-84.
A case of Sheehan's syndrome that presented with a pericardial effusion
- Affiliations
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- 1Division of Endocrinology and Metabolism, Department of Internal Medicine, Chonbuk National University Medical School, Chonju, Korea. parkjh@chonbuk.ac.kr
- 2Sejongh General Hospital, Bucheon, Korea.
Abstract
- Pericardial effusions are found in as many as 30% of cases of primary hypothyroidism, but are extremely rare in cases of secondary hypothyroidism. We report a case of Sheehan's syndrome that presented with a moderate pericardial effusion. A 44-year-old female was admitted to the hospital because of dyspnea and drowsiness. She had a history of postpartum hemorrhage and underwent a hysterectomy at the age of 32. Based on the biochemical analysis, the patient had severe panhypopituitarism. A chest x-ray revealed cardiomegaly and an echocardiogram showed the presence of a pericardial effusion. The pericardial effusion resolved completely with thyroxine and glucocorticoid replacement without pericardiocentesis.
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