Abstract:

The present study reported on a special case of cesarean section due to relative cephalopelvic disproportion. Due to severe postpartum hemorrhage and disseminated intravascular coagulation, hysterectomy was performed, posterior pituitary dysfunction was found and transient diabetes insipidus was presented, which is very rare in clinical practice. Clinical analysis and literature review were conducted on this case. The aim of this study was to improve the understanding of the Sheehan syndrome such as transient diabetes insipidus after postpartum hemorrhage and provide reference for clinical workers. Sheehan syndrome is due to postpartum hemorrhage caused by ischemic pituitary necrosis, usually diagnosed a few years after delivery. However, transient diabetes insipidus caused by hypopituitarism soon after postpartum is not common in clinical practice, which should be paid attention to by clinical workers. When evaluating patients with polyuria and polydipsia after severe postpartum hemorrhage, we should always keep in mind the possibility of central diabetes insipidus, explore its causes and treatment methods, so as to carry out appropriate treatment quickly.

Key words: Postpartum haemorrhage, Disseminated intravascular coagulation, Diabetes insipidus, Hysterectomy, Case reports