Korean J Obstet Gynecol.  2008 Sep;51(9):1038-1045.

Acute Sheehan's syndrome with hyponatremia and hypoglycemia

Affiliations
  • 1Department of Obstetrics and Gynecology, College of Medicine, Soonchunhyang University, Seoul, Korea. jjlee@hosp.sch.ac.kr

Abstract

We report two cases of acute Sheehan's syndrome with a brief review of literature: A 28-year-old woman who had been performed cesarean section delivery complicated by hemorrhage due to uterine atony. And a 29-year-old woman who had vaginal birth after cesarean section (VBAC) complicated by hemorrhage due to birth canal laceration. On 8th day after delivery, both patient visited emergency room in critical condition with nausea, vomiting and general weakness. Although clinically significant Sheehan's syndrome is an uncommon consequence of obstetric hemorrhage, Sheehan's syndrome should be considered in the differential diagnosis of hyponatremia and suggestive hypoglycemia in early postpartum period women with history of massive obstetric hemorrhage.

Keyword

Sheehan's syndrome; Hyponatremia; Hypoglycemia; Postpartum bleeding

MeSH Terms

Adult
Cesarean Section
Diagnosis, Differential
Emergencies
Female
Hemorrhage
Humans
Hypoglycemia
Hyponatremia
Hypopituitarism
Lacerations
Nausea
Parturition
Postpartum Period
Pregnancy
Uterine Inertia
Vaginal Birth after Cesarean
Vomiting
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