창자간막 혈관염으로 처음 발현된 전신홍반루푸스 1예A Case of Systemic Lupus Erythematosus Manifesting First as Mesenteric Vasculitis
- Other Titles
- A Case of Systemic Lupus Erythematosus Manifesting First as Mesenteric Vasculitis
- Authors
- 이건화; 은창수; 송준석; 오일환; 정석현; 박혜선; 전용철; 손주현; 한동수
- Issue Date
- Jul-2012
- Publisher
- 대한장연구학회
- Keywords
- Mesenteric vasculitis; Acute abdomen; Systemic lupus erythematosus
- Citation
- Intestinal research, v.10, no.3, pp.305 - 308
- Indexed
- KCI
- Journal Title
- Intestinal research
- Volume
- 10
- Number
- 3
- Start Page
- 305
- End Page
- 308
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/165087
- DOI
- 10.5217/ir.2012.10.3.305
- ISSN
- 1598-9100
- Abstract
- Systemic lupus erythematosus (SLE) is a multisystem inflammatory disease that manifests various symptoms. Mesenteric vasculitis (MV) is one of the serious complications of SLE and carries a high mortality rate. Although MV is the main cause for acute abdominal pain in patients with SLE, it is very rare for the pain to be the first clinical manifestation of the disease. A 34-year old female presented with sudden onset abdominal pain accompanied by small intestinal bowel edema observed on abdominal computed tomography. We performed a diagnostic laparoscopy, as vital signs were becoming unstable and the diffuse abdominal tenderness was worsening rapidly. The examination showed a severe jejunal infarction; thus, the patient underwent a small bowel segmental resection. A histological examination revealed multiple, hemorrhagic, small-vessel vasculitis, and later serologic autoimmune markers were consistent with SLE. We suggest that SLE be considered in the differential diagnosis of young females presenting with an acute abdomen and unexplained enteropathy. A surgical approach such as exploratory laparoscopy could be an option in search for the cause.
- Files in This Item
-
Go to Link
- Appears in
Collections - 서울 의과대학 > 서울 내과학교실 > 1. Journal Articles
![qrcode](https://api.qrserver.com/v1/create-qr-code/?size=55x55&data=https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/165087)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.