Acute Hyponatremia in Puerperium: Sheehan's Syndrome

Following an uneventful pregnancy, a 31-year-old woman was admitted to the maternity ward at 39 weeks of gestation. Delivery was complicated by profuse uterine hemorrhage, necessitating emergency revision under general anaesthesia and transfusion of 8 units of blood, 2 units of gelofusine and 1l of Ringer's lactate. The patient was transferred to the normal ward several hours later but complained of severe headache with associated nausea and photophobia. An intracerebral bleed was ruled out by computed tomography and no sinus vein thrombosis was detected by magnetic resonance (MR) tomography.
Source: The American Journal of Medicine - Category: General Medicine Authors: Tags: Clinical Communication to the Editor Source Type: research