분만 직후 나타난 쉬한증후군으로 인한 급성 부신기능저하

Abstract

Sheehan's syndrome is a postpartum hypopituitarism due to acute ischemic necrosis of the anterior pituitary gland secondary to severe postpartum bleeding and shock. Generally; it is diagnosed several months to years after the last delivery complicated with severe postpartum bleeding. However; we experienced a case of abrupt onset Sheehan's syndrome with acute adrenal insufficiency occurring 20 days after delivery with severe bleeding. Hormonal study revealed decreased cortisol and growth hormone response to insulin-induced hypoglycemia. The patient recovered dramatically with glucocorticoid replacement therapy.