A case of Sheehan's syndrome with central diabetes insipidus showing hemorrhagic pituitary apoplexy.
- Author:
Seung Youn LEE
1
;
Man Jong LEE
;
Kwang Soo LEE
;
So Hun KIM
;
Seong Bin HONG
;
Moonsuk NAM
;
Yong Seong KIM
Author Information
1. Department of Internal Medicine, Inha University College of Medicine, Incheon, Korea. shoney@inha.ac.kr
- Publication Type:Case Report
- Keywords:
Sheehan's syndrome;
Diabetes insipidus;
Pituitary apoplexy
- MeSH:
Diabetes Insipidus;
Diabetes Insipidus, Neurogenic;
Hemorrhage;
Hypernatremia;
Hypopituitarism;
Magnetic Resonance Imaging;
Necrosis;
Pituitary Apoplexy;
Pituitary Gland;
Postpartum Period
- From:Korean Journal of Medicine
2010;78(5):630-634
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Ischemic necrosis of the pituitary gland, known as Sheehan's syndrome, can develop after massive postpartum bleeding. This condition is rarely accompanied by diabetes insipidus. An empty sella is a constant feature of Sheehan's syndrome in the later phase, but very few observations of magnetic resonance imaging (MRI) features in the acute phase are available. We report a case of Sheehan's syndrome presenting with diabetes insipidus leading to severe hypernatremia, showing hemorrhagic postpartum pituitary apoplexy on acute MRI.
