Early postpartum hyponatremia in a patient with transient Sheehan's syndrome

In modern day health care, Sheehan's syndrome is a rare disorder affecting the postpartum period. We present a case of a 33-year-old woman with atonic hemorrhage developing a transient Sheehan's syndrome associated with hyponatremia six days postpartum. Evaluation of cranial computer tomog...

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Bibliographic Details
Published inExperimental and clinical endocrinology & diabetes Vol. 112; no. 5; p. 278
Main Authors Munz, W, Seufert, R, Knapstein, P-G, Pollow, K
Format Journal Article
LanguageEnglish
Published Germany 01.05.2004
Subjects
Adult
Cesarean Section
Chlorides - blood
Female
Humans
Hyponatremia - etiology
Hypopituitarism - diagnosis
Labor, Obstetric
Pregnancy
Puerperal Disorders - etiology
Sodium - blood
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Summary:In modern day health care, Sheehan's syndrome is a rare disorder affecting the postpartum period. We present a case of a 33-year-old woman with atonic hemorrhage developing a transient Sheehan's syndrome associated with hyponatremia six days postpartum. Evaluation of cranial computer tomography and magnetic resonance imaging of the pituitary demonstrated normal finding. Immediate replacement therapy using sodium, chloride, hydrocortisone, fludrocortisone and levothyroxine revealed regression of the Sheehan's syndrome to complete recovery. The present report shows that Sheehan's syndrome can be associated with hyponatremia and illustrates the need to include hyponatremia as an initial symptom in the differential diagnosis of Sheehan's syndrome.
ISSN:0947-7349
DOI:10.1055/s-2004-817976