INTRODUCTION:Sheehan syndrome, also known as postpartum pituitary necrosis, is defined as pituitary hormone deficits due to an ischemic necrosis as a result of severe hypotension or shock induced by significant postpartum hemorrhage during or after delivery (1–3).Sheehan’s syndrome clinical symptoms typically include failure of lactation and amenorrhea, dry and pale skin, loss of axillary and pubic hair, anemia, asthenia, fatigue, nausea, vomiting, dizziness, depression, excessive fatigue, malaise, lethargy, facial puffiness, and hoarseness of voice (1,2,4). Individuals with Sheehan’s syndrome may experience delayed and unusual symptoms, such as recurrent hypoglycemia, hyponatremia with or without other electrolyte abnormalities, psychosis, cardiomyopathy, and rhabdomyolysis (5).The development of recurrent hypoglycemia and electrolyte imbalance as clinical manifestations complicates the spectrum of symptoms associated with this illness. Our 34-year-old female patient appears with recurring bouts of hypoglycemia, hyponatremia, hypokalemia, and hypochloremia, all of which pose substantial diagnostic and therapeutic challenges.
