COMA HYPOGLYCÉMIQUE PROFOND RÉVÉLANT UN SYNDROME DE SHEEHAN : A PROPOS D’UN CAS OBSERVÉ EN RÉANIMATION POLYVALENTE DES CLINIQUES UNIVERSITAIRES DE LUBUMBASHI EN RD CONGO

  • Wasso Milinganyo Eddya Service d’anesthésie et réanimation des cliniques universitaires de Lubumbashi/RD Congo
  • Sagboze Zalambo Sandraa Service d’anesthésie et réanimation des cliniques universitaires de Lubumbashi/RD Congo
  • Mabala Kipulu Foremana Service d’anesthésie et réanimation des cliniques universitaires de Lubumbashi/RD Congo
  • Teta wa Mwanza Ildephonsea Service d’anesthésie et réanimation des cliniques universitaires de Lubumbashi/RD Congo
  • Mukalay Banza Yves Service d’anesthésie et réanimation des cliniques universitaires de Lubumbashi/RD Congo
  • Kanyanda Nafatalewa Dimitri Service de chirurgie des cliniques universitaires de Lubumbashi/RD Congo
  • Munan Mwazaz Roger Service de gynécologie des cliniques universitaires de Lubumbashi/RD Congo
  • Isango Idi Yves Service de gynécologie des cliniques universitaires de Lubumbashi/RD Congo
  • Kakisingi Ngama Christian Service de médecine interne des cliniques universitaires de Lubumbashi/RD Congo
  • Tshisuz Nawej Christian Service d’anesthésie et réanimation des cliniques universitaires de Lubumbashi/RD Congo
  • Kahambwe Mukonkole Kaya Spécialiste en néphrologie au centre médical Diamant de Lubumbashi/RD Congo
  • Manika Muteya Michel Service d’anesthésie et réanimation des cliniques universitaires de Lubumbashi/RD Congo
  • Matanda Kapend Serge Service de médecine interne des cliniques universitaires de Lubumbashi/RD Congo
  • Iteke Fefe Rivain Professeur d’anesthésie et réanimation à l’université de Lubumbashi/RD Congo
Keywords: hypoglycemia, Sheehan’s syndrome, intensive care unit, Lubumbashi, DR Congo

Abstract

The intensive care unit remains a paradigm of rare pathologies culminating in often unusual syndromes.Sheehan's syndrome (SS) is a potentially serious postpartum complication which corresponds to ischemic necrosis of the anterior pituitary related to postpartum hemorrhage. It remains topical despite the improvement in gynecological and obstetrics management. The diagnosis, which is usually made only several years after the obstetrical event, by the presence of signs of anterior pituitary insufficiency, can however be early in the immediate postpartum and borrow serious acute forms which are real metabolic and endocrine emergencies. (1).Sheehan's syndrome is usually diagnosed several years after childbirth; therefore, it was recognized as a chronic disease. However, in some cases, Sheehan syndrome presents with acute symptoms and this variant can be life-threatening (2). We report a particular and complex revelation of Sheehan syndrome in a 36-year-old woman, who arrived in emergency in a coma with breathing difficulties and oxygen saturation at 60%. His coma is deep and the biological cause is urgently revealed to be hypoglycemia. She was taken care urgently and her extensive work-up revealed an anterior pituitary insufficiency with mainly corticotroph, lactotrope and somatotrope damage. Her obstetrical history is obvious revealing abundant peripartum hemorrhage following a retroplacental hematoma resulting in a maternal salvage caesarean section 10 years ago. His CT scan is normal. 

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Published
2022-05-19
How to Cite
Eddya, W. M., Sandraa, S. Z., Foremana, M. K., Ildephonsea, T. wa M., Yves, M. B., Dimitri, K. N., Roger, M. M., Yves, I. I., Christian, K. N., Christian, T. N., Kaya, K. M., Michel, M. M., Serge, M. K., & Rivain, I. F. (2022). COMA HYPOGLYCÉMIQUE PROFOND RÉVÉLANT UN SYNDROME DE SHEEHAN : A PROPOS D’UN CAS OBSERVÉ EN RÉANIMATION POLYVALENTE DES CLINIQUES UNIVERSITAIRES DE LUBUMBASHI EN RD CONGO. IJRDO - Journal of Health Sciences and Nursing , 8(5), 6-11. https://doi.org/10.53555/hsn.v8i5.5093