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Nephrol Dial Transplant (1999) 14: 2714-2715
© 1999 European Renal Association-European Dialysis and Transplant Association

Case Reports

Sheehan syndrome presenting as early post-partum hyponatraemia

Eric Boulanger, Dominique Pagniez, Stéphane Roueff, Raynald Binaut, Anne-Sylvie Valat1, Nathalie Provost1, Remy Leroy2, Xavier Codaccioni1 and Philippe Dequiedt

Service de Néphrologie B, Hôpital Calmette, 1 Service de Suites de Couches, Maternité Jeanne de Flandre and 2 Service d'Endocrinologie, Clinique Marc Linquette, CHRU Lille, Lille, France

Correspondence and offprint requests to: Dr Eric Boulanger, Service de Néphrologie B, Hôpital Calmette, Boulevard du Pr. J. Leclerc, 59037 Lille Cedex, France.

Keywords: antidiuretic hormone; hyponatraemia; hypopituitarism; pregnancy; Sheehan syndrome



   Introduction
 
Post-partum anterior pituitary necrosis (Sheehan syndrome) occurs rarely, and seldom causes hypopituitarism. Hyponatraemia is an initial manifestation of post-partum pituitary insufficiency. Post-partum hyponatraemia is usually caused by surgical procedure or inappropriate rehydration. We report on a third case of early and acute hyponatraemia with inappropriate secretion of antidiuretic hormone occurring 10 days after vaginal delivery with severe blood loss.



   Case
 
A 30-year-old woman presented in active labour at the 38th week of gestation. Two years previously, . . . [Full Text of this Article]



   Discussion
 


   References
 

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