Korean J Med.  2010 May;78(5):630-634.

A case of Sheehan's syndrome with central diabetes insipidus showing hemorrhagic pituitary apoplexy

• Lee SY
• Lee MJ
• Lee KS
• Kim SH
• Hong SB
• Nam M
• Kim YS

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.

Keyword

Sheehan's syndrome; Diabetes insipidus; Pituitary apoplexy

MeSH Terms

Diabetes Insipidus
Diabetes Insipidus, Neurogenic
Hemorrhage
Hypernatremia
Hypopituitarism
Magnetic Resonance Imaging
Necrosis
Pituitary Apoplexy
Pituitary Gland
Postpartum Period