Abstract

ESCALANTE-PEREZ, Santiago et al. Pseudo-obstruction, an infrequent Lupus manifestation: A case report. Rev.Colomb.Reumatol. [online]. 2023, vol.30, n.1, pp.59-62.  Epub Aug 16, 2023. ISSN 0121-8123.  https://doi.org/10.1016/j.rcreu.2021.04.009.

Gastrointestinal involvement in SLE has been reported in up to 50%, generally secondary to the adverse effects of treatment. Intestinal pseudo-obstruction is caused by hypomotility related to ineffective propulsion. The case of a 51-year-old patient with intestinal obstruction is presented. She was taken to surgical management due to suspicion of adhesions, with a stationary clinical course; the control tomography documented loop dilation and bilateral hydroureteronephrosis, associated with markers of lupus activity. It was managed as an intestinal pseudo-obstruction due to SLE with resolution of her symptoms. High diagnostic suspicion results in timely treatment and the reduction of complications.

Keywords : Systemic lupus erythematosus; Intestinal pseudo-obstruction; Abdomeinal pain; Visceral myopathy.

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