{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T11:07:15Z","timestamp":1770980835905,"version":"3.50.1"},"reference-count":12,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["SAGE Open Medical Case Reports"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:p> Sheehan\u2019s syndrome is a postpartum hypopituitarism state caused by necrosis of the pituitary gland. It is usually the result of severe hypotension or shock caused by massive hemorrhage during or after delivery. Sheehan\u2019s syndrome symptoms are often subtle and hence it is diagnosed late. Herein, we report a case of a 41-year-old woman who developed severe postpartum hemorrhage after childbirth that required a total abdominal hysterectomy to control bleeding at the age of 36\u2009years. Since then, she has progressively developed symptoms of headache, general fatigue, and malaise, and finally presented with pancytopenia for investigations. Anemia is a well-known hematological association with Sheehan\u2019s syndrome while pancytopenia is rarely reported. However, complete recovery of pancytopenia was observed after the treatment. Pancytopenia (due to bone marrow failure to produce cells) is a serious finding in clinical practice that causes significant stress as it may point to a diagnosis of malignancy (mainly leukemia) and other serious disorders. Despite being a rare cause, a high index of suspicion is required from the physicians in women with pancytopenia, in order to look for a possible treatable cause of pancytopenia (like Sheehan's syndrome), if the common causes were excluded. <\/jats:p>","DOI":"10.1177\/2050313x221109431","type":"journal-article","created":{"date-parts":[[2022,7,5]],"date-time":"2022-07-05T06:01:39Z","timestamp":1657000899000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Case report: Pancytopenia as a rare presentation of Sheehan\u2019s syndrome"],"prefix":"10.1177","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3065-5396","authenticated-orcid":false,"given":"Hadi","family":"Rabee\u2019","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, An-Najah National University Hospital, Nablus, Palestinian Territory, occupied"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raghad","family":"Tanbour","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, An-Najah National University Hospital, Nablus, Palestinian Territory, occupied"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmad","family":"Yaseen","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, An-Najah National University Hospital, Nablus, Palestinian Territory, occupied"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammed","family":"Zaidan","sequence":"additional","affiliation":[{"name":"Istishari Arab Hospital, Ramallah, Palestinian Territory, occupied"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Riad","family":"Amer","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, An-Najah National University Hospital, Nablus, Palestinian Territory, occupied"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,7,4]]},"reference":[{"key":"bibr1-2050313X221109431","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-017-1380-y"},{"key":"bibr2-2050313X221109431","doi-asserted-by":"publisher","DOI":"10.1080\/09513590600630504"},{"issue":"1","key":"bibr3-2050313X221109431","first-page":"73","volume":"80","author":"Anfuso S","year":"2009","journal-title":"Acta Biomed"},{"key":"bibr4-2050313X221109431","doi-asserted-by":"publisher","DOI":"10.1186\/1752-1947-5-490"},{"key":"bibr5-2050313X221109431","doi-asserted-by":"publisher","DOI":"10.1007\/s00277-003-0800-4"},{"key":"bibr6-2050313X221109431","doi-asserted-by":"publisher","DOI":"10.1111\/j.1368-5031.2004.00059.x"},{"key":"bibr7-2050313X221109431","doi-asserted-by":"publisher","DOI":"10.1007\/s00277-009-0804-9"},{"key":"bibr8-2050313X221109431","doi-asserted-by":"publisher","DOI":"10.15761\/FWH.1000151"},{"key":"bibr9-2050313X221109431","doi-asserted-by":"publisher","DOI":"10.3109\/09513590.2012.752454"},{"key":"bibr10-2050313X221109431","doi-asserted-by":"publisher","DOI":"10.3109\/09513590009167667"},{"key":"bibr11-2050313X221109431","first-page":"260","volume":"6","author":"Abera H","year":"2017","journal-title":"Endocrinol Metabol Syndrome"},{"key":"bibr12-2050313X221109431","doi-asserted-by":"publisher","DOI":"10.1007\/s00277-008-0607-4"}],"container-title":["SAGE Open Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X221109431","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2050313X221109431","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X221109431","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,2]],"date-time":"2025-03-02T08:53:28Z","timestamp":1740905608000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2050313X221109431"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":12,"alternative-id":["10.1177\/2050313X221109431"],"URL":"https:\/\/doi.org\/10.1177\/2050313x221109431","relation":{},"ISSN":["2050-313X","2050-313X"],"issn-type":[{"value":"2050-313X","type":"print"},{"value":"2050-313X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1]]},"article-number":"2050313X221109431"}}