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KMID : 0358420080510091038
Korean Journal of Obstetrics and Gynecology
2008 Volume.51 No. 9 p.1038 ~ p.1045
Acute Sheehan¡¯s syndrome with hyponatremia and hypoglycemia
Park Hae-Yeon

Lee Jeong-Jae
Choi Gyu-Yeon
Lee Im-Soon
Kim Tae-Hee
Lee Kwon-Hae
Jung Seung-Ah
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
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