Hypoglycemia as a presenting manifestation of Sheehan’s syndrome

Sheehan’s syndrome is caused by ischemic necrosis of the pituitary gland from massive postpartum uterine bleeding. Despite advances in obstetric care, it is still an important cause of hypopituitarism in developing countries. Sheehan’s syndrome has an insidious course with variable presentation. Here, we present a case having recurrent hypoglycemia and was later found to have hypopituitarism due to Sheehan’s syndrome. Despite the presence of lactation failure and secondary amenorrhea following the delivery, she was diagnosed ten years later. Awareness of these clues and prompt evaluation for pan hypopituitarism can significantly reduce the morbidity and mortality in these patients.