A Case of Sheehan Syndrome Presenting with Pancytopenia and Dilated Cardiomyopathy: A Rare Combination

Sheehan syndrome is a rare complication of postpartum haemorrhage resulting in pituitary necrosis and panhypopituitarism. We report case 52-year-old female who presented with easy fatigability, asthenia loss appetite for 8-10 months. She was found to have alopecia, hypotension, hypoglycaemia, pancytopenia, history failure lactate after the last childbirth (17 years back) premature menopause. The hormone profile revealed panhypopituitarism magnetic resonance imaging brain suggestive partially empty sella. Her echocardiogram showed dilated cardiomyopathy an ejection fraction 35%. A diagnosis presenting pancytopenia made. patient started on injectable hydrocortisone later, thyroid supplementation which she improved. responsive replacement therapy therefore should always be ruled out such patients.