A case of Sheehan's syndrome with central diabetes insipidus showing hemorrhagic pituitary apoplexy / 대한내과학회지

ABSTRACT

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.