The Korean Journal of Internal Medicine

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


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)

Keywords :Sheehan’s syndrome, Diabetes insipidus, Pituitary apoplexy
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