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KMID : 0882420100780050630
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Korean Journal of Medicine
2010 Volume.78 No. 5 p.630 ~ p.634
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A case of Sheehan’s syndrome with central diabetes insipidus showing hemorrhagic pituitary apoplexy
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Lee Seung-Youn
Lee Man-Jong
Lee Kwang-Soo
Kim So-Hun
Hong Seong-Bin
Nam Moon-Suk
Kim Yong-Seong
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Abstract
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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)
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KEYWORD
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Sheehan’s syndrome, Diabetes insipidus, Pituitary apoplexy
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