{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T18:12:11Z","timestamp":1790619131729,"version":"4.1.0"},"reference-count":15,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,5,26]]},"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:p>Sheehan\u2019s syndrome (SS) is ischaemic necrosis of the pituitary gland due to massive postpartum haemorrhage. The clinical manifestations may vary from subtle to life-threatening and may present immediately after delivery or many years later. We present a case history of a 58-year-old non-diabetic woman who had undetected SS and presented with two unusual manifestations, including recurrent hypoglycaemia and dilated cardiomyopathy 34 years after delivery. The dilated cardiomyopathy reversed partially after treatment.<\/jats:p>","DOI":"10.1136\/bcr-2021-242747","type":"journal-article","created":{"date-parts":[[2021,6,23]],"date-time":"2021-06-23T11:53:55Z","timestamp":1624449235000},"page":"e242747","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Recurrent hypoglycaemia and dilated cardiomyopathy: delayed presentation of Sheehan\u2019s syndrome"],"prefix":"10.1136","volume":"14","author":[{"given":"Archita","family":"Makharia","sequence":"first","affiliation":[{"name":"General Medicine, Dr Sampurnanand Medical College, Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manoj","family":"Lakhotia","sequence":"additional","affiliation":[{"name":"General Medicine, Dr Sampurnanand Medical College, Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vineet","family":"Tiwari","sequence":"additional","affiliation":[{"name":"General Medicine, Dr Sampurnanand Medical College, Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kishan","family":"Gopal","sequence":"additional","affiliation":[{"name":"General Medicine, Dr Sampurnanand Medical College, Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,6,23]]},"reference":[{"key":"2025082713172869000_14.6.e242747.1","doi-asserted-by":"crossref","first-page":"292","DOI":"10.3109\/09513590.2012.752454","article-title":"Sheehan's syndrome","volume":"29","author":"Kilicli","year":"2013","journal-title":"Gynecol Endocrinol"},{"key":"2025082713172869000_14.6.e242747.2","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1007\/s12020-015-0726-3","article-title":"Sheehan's syndrome: new insights into an old disease","volume":"51","author":"Diri","year":"2016","journal-title":"Endocrine"},{"key":"2025082713172869000_14.6.e242747.3","doi-asserted-by":"crossref","first-page":"318","DOI":"10.4103\/0022-3859.123167","article-title":"Recurrent hypoglycemia\u2026: a less well-known presentation of Sheehan's syndrome","volume":"59","author":"Dosi","year":"2013","journal-title":"J Postgrad Med"},{"key":"2025082713172869000_14.6.e242747.4","doi-asserted-by":"publisher","DOI":"10.1080\/gye.16.5.419.423"},{"key":"2025082713172869000_14.6.e242747.5","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/j.jsha.2014.01.005","article-title":"Sheehan's syndrome with reversible dilated cardiomyopathy: a case report and brief overview","volume":"26","author":"Islam","year":"2014","journal-title":"J Saudi Heart Assoc"},{"key":"2025082713172869000_14.6.e242747.6","doi-asserted-by":"publisher","DOI":"10.4103\/0256-4947.65269"},{"key":"2025082713172869000_14.6.e242747.7","doi-asserted-by":"crossref","DOI":"10.1186\/1752-1947-7-227","article-title":"Late-Onset Sheehan's syndrome presenting with rhabdomyolysis and hyponatremia: a case report","volume":"7","author":"Soresi","year":"2013","journal-title":"J Med Case Rep"},{"key":"2025082713172869000_14.6.e242747.8","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1016\/j.ajp.2016.12.003","article-title":"Psychosis as a late manifestation of Sheehan's syndrome","volume":"25","author":"Reddy","year":"2017","journal-title":"Asian J Psychiatr"},{"key":"2025082713172869000_14.6.e242747.9","doi-asserted-by":"crossref","first-page":"431","DOI":"10.1530\/EJE-13-0279","article-title":"Delayed diagnosis of Sheehan\u2019s syndrome in a developed country: a retrospective cohort study","volume":"12","author":"Ramiandrasoa","year":"2013","journal-title":"Eur J Endocrinol"},{"key":"2025082713172869000_14.6.e242747.10","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2013-010156","article-title":"Hypoglycaemia begets hypoglycaemia","volume":"2013","author":"Arora","year":"2013","journal-title":"BMJ Case Rep"},{"key":"2025082713172869000_14.6.e242747.11","doi-asserted-by":"crossref","unstructured":"Weintraub RG , Semsarian C , Macdonald P . Dilated cardiomyopathy. 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