Complications of post-partum haemorrhage surface 10 years later

The patient had pan-hypopituitarism secondary to pituitary infarction after PPH, otherwise known as Sheehan’s syndrome

Jeremy, an office manager, brings his wife, Alison, aged 37, for an initial consultation.

Brain MRI scan

She has been refusing to see a doctor but is now so unwell that Jeremy has insisted she attend.

Alison is very weak and requires Jeremy’s assistance to stand and walk.

In recent weeks, she has started to need his help for self-care. Her appetite has been declining over months.

She has been refusing to see a doctor, saying she fears being sent away to an institution.