Soonchunhyang Med Sci.  2017 Jun;23(1):65-67. 10.0000/sms.2017.23.1.65.

Acute Sheehan's Syndrome Associated with Postpartum Hemorrhage

• Kim D
• Min J
• Kim YS
• Ryu A

• KMID: 2404882
• DOI: http://doi.org/10.0000/sms.2017.23.1.65

Abstract

Sheehan's syndrome is postpartum hypopituitarism due to the necrosis of the pituitary gland. Usually, it is the result of severe hypotension caused by massive hemorrhage during or after delivery. A 40-year-old woman who had been performed cesarean section delivery was complicated by hemorrhage due to uterine atony. After transfusion and hysterectomy, she is gradually recovering her general condition. On 16th day after operation, she visited emergency room in critical condition with nausea, vomiting, and general weakness and laboratory finding was hyponatremia. So, we medicated her with hydrocortisone and thyroxine. Sheehan's syndrome should be considered in the differential diagnosis of hyponatremia in the early postpartum period.

Keyword

Hypopituitarism; Hyponatremia; Hypoglycemia; Postpartum hemorrhage

MeSH Terms

Adult
Cesarean Section
Diagnosis, Differential
Emergency Service, Hospital
Female
Hemorrhage
Humans
Hydrocortisone
Hypoglycemia
Hyponatremia
Hypopituitarism*
Hypotension
Hysterectomy
Nausea
Necrosis
Pituitary Gland
Postpartum Hemorrhage*
Postpartum Period*
Pregnancy
Thyroxine
Uterine Inertia
Vomiting
Hydrocortisone
Thyroxine