Epidemiological and diagnostic aspects of Sheehan syndrome in hospital settings in Mauritania: About 9 cases.

Abstract

Introduction: Sheehan syndrome is a necrosis of the pituitary gland secondary to a haemorrhagic delivery, leading to a dairy emergence, secondary amenorrhea with a slow progressive evolution, which can last several years or even tens of years before the diagnosis. Objective: To evaluate the epidemiological and diagnostic aspects of Sheehan syndrome over a period from January 1, 2008 to January 2015, in a specialized hospital consultation. Patients and methods: This is a prospective study carried out on 9 cases of Sheehan collected from the various outpatient departments of the different hospitals of Nouakchott over a period of 7 years. Diagnosis was made on the clinical, biological with the follow-up of the evolution under treatment. Results: These were 9 patients (9F) with an average age of 43 years, with extremes 24-60 years. The average delay of the diagnosis is 8.33 years, with extremes of 2 to 15 years. Sheehan alone represents 5 cases, or 55.5%, sheehan associated 4 cases, or 44.5%, including 1 case associated with T1D, ie 11.1%, 1 case associated with T2D, ie 11.1%, The HPP, 11.1%, 1 cases associated with schezophrenia, or 11.1%, the clinical and hormonal balance are in favor of a central attack with normal TSH and a low T4L, collapsed cortisolia, Progression was favorable under treatment. The pituitary scanner showed once an empty turcic saddle. Conclusion: Despite considerable progress in the area of gynecological obstetrics, the diagnosis of Sheehan syndrome still arises after several years of evolution and multiple consultations.