Postpartum hemorrhage complicated with irreversible renal failure and central diabetes insipidus.
Sheehan's syndrome is a rare complication of pregnancy with multiple hormone deficiency. The exact pathogenetic mechanism is not well understood, because such endocrine abnormalities are not obvious in most women with severe hemorrhage. Central diabetes insipidus with fluid and sodium disturbances occurred in about 5% of the patients. [1,2] There are very few existing literature discussing concomitant Sheehan's syndrome and acute renal failure. The following case reports a patient showing Sheehan's syndrome, irreversible acute renal failure and central diabetes insipidus concurrently.
Wang
Hsiann-Yih
HY
Division of Nephrology, Chang Gung Memorial Hospital, Taipei, Taiwan.
Chang
Chiz-Tzung
CT
Wu
Mai-Szu
MS
D058186:Acute Kidney Injury / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D000328:Adult; D020790:Diabetes Insipidus, Neurogenic / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D005260:Female; D006801:Humans; D007018:Hypopituitarism / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D006473:Postpartum Hemorrhage / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis* / Q000628:therapy