출산시 과다 출혈 발생 후 요붕증이 주증상으로 발현되며 쉬한증후군이 나타나고 뇌자기공명영상에서 급성기 뇌하수체 출혈이 동반된 뇌하수체 졸중의 특징적 소견을 보인 증례를 보고하는 바이다.

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)