An unusual association of Sheehan’s syndrome with pancytopenia

Sheehan’s syndrome or postpartum pituitary necrosis is hypopituitarism, caused by necrosis due to blood loss and hypovolemic shock as a complication of pregnancy. We describe a case of 45 year old woman with Sheehan’s syndrome who presented with recurrent symptomatic hypoglycaemia and pancytopenia. Association of Sheehan’s syndrome and pancytopenia is rare and to best of our knowledge only eight cases have been reported so far. The symptomatic treatment with levothyroxine, prednisolone, bisphosphonates, calcium and vitamin D cured her general symptoms, hypoglycemia and pancytopenia