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본 저자들은 급성형 시한증후군 2예를 간단한 문헌고찰과 함께 보고하는 바이다: 제왕절개술 후 자궁무력증으로 대량의 산후 출혈이 있었던 28세 환자 1예. 그리고, 제왕절개 기왕력이 있는 29세 환자에서 질분만 후 산도 열상으로 대량의 산후 출혈이 있었던 1예. 두 환자 모두 분만 후 8일 째 구역, 구토 및 전신 쇠약감을 호소하며 중한 상태로 응급실로 내원하였다. 비록 임상적으로 유의한 시한증후군은 산과적인 출혈의 흔한 합병증은 아니지만, 대량 산후 출혈의 기왕력을 가진 여성에서 산후 조기에 저나트륨혈증과 저혈당증을 보일 경우 시한증후군의 가능성을 고려해 보아야 한다.
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.
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.
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Sheehan’s syndrome, Hyponatremia, Hypoglycemia, Postpartum bleeding
