A case of Sheehan’s syndrome with central diabetes insipidus showing hemorrhagic pituitary apoplexy |
Seung Youn Lee, Man Jong Lee, Kwang Soo Lee, So Hun Kim, Seong Bin Hong, Moonsuk Nam, Yong Seong Kim |
전남대학교 의과대학 알레르기내과 |
급성기 뇌하수체 졸중으로 나타난 요붕증 동반 쉬한증후군 1예 |
이승연, 이만종, 이광수, 김소헌, 홍성빈, 남문석, 김용성 |
Division of Allergy, Asthma and Clinical Immunology, Department of Internal Medicine, Chonnnam National University Medical School, Gwangju, Korea |
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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. (Korean J Med 78:630-634, 2010)
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Key Words:
Sheehan’s syndrome; Diabetes insipidus; Pituitary apoplexy |
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