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

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

Affiliations
  • 1Department of Internal Medicine, Inha University College of Medicine, Incheon, Korea. shoney@inha.ac.kr

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
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