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이철우(Cheul Woo Lee),노현주(Hyun Ju Noh),민정기(Jung Ki Min),양은영(Dun Youg Yang),신용덕(Yong Duk Shin),김동진(Dong Jin Kim) 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.9
36 years old women, who had cesarean section delivery in a local clinic, was transferred to our hospital in state of hypovolemic shock. After transfusion and hysterectomy, vital sign is stable and she is gradually recovering her general condition. Seven days after operation, she complained of a headache, general weakness, slurred speech and laboratory finding was syndrome of inappropriate secretion of antidiuretic hormone. Fluid restriction and hypertonic saline infusion resulted in no significant change in the blood sodium level. So, we performed basal hormone study and combined pituitary function test, the result is panhypopituitarism. Hyponatremia is corrected by administrated glucocorticoid. Sheehan's syndrome should be considered in the differential diagnosis of hyponatremia in the early postpartum period.