Acute Sheehan's syndrome with hyponatremia and hypoglycemia.

Park, Hae Yeon; Lee, Jeong Jae; Jung, Seung Ah; Kim, Tae Hee; Choi, Kyu Yeon; Lee, Im Soon; Lee, Kwon Hae

Case Report

Korean Journal of Obstetrics & Gynecology 2008;51(9):1038-1045.
Published online September 1, 2008.

Acute Sheehan's syndrome with hyponatremia and hypoglycemia.

Hae Yeon Park, Jeong Jae Lee, Seung Ah Jung, Tae Hee Kim, Kyu Yeon Choi, Im Soon Lee, Kwon Hae Lee

Department 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.

Key Words: Sheehan's syndrome, Hyponatremia, Hypoglycemia, Postpartum bleeding