Systemic Lupus Erythematosus Presenting with Ischemic Proctitis and Abdominal Compartment Syndrome
Ischemic colitis and proctitis is a rare manifestation of systemic lupus erythematosus (SLE) and results from mesenteric vasculitis. Owing to diverse blood supply and presence of multiple collaterals, rectum is the least effected site in SLE enteritis. Ischemic proctocolitis as the presenting featur...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2020/5723403 |
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| author | Yousaf Bashir Hadi John Lindsay Syeda Fatima Zehra Naqvi Hatim Al-Jaroushi |
| author_facet | Yousaf Bashir Hadi John Lindsay Syeda Fatima Zehra Naqvi Hatim Al-Jaroushi |
| author_sort | Yousaf Bashir Hadi |
| collection | DOAJ |
| description | Ischemic colitis and proctitis is a rare manifestation of systemic lupus erythematosus (SLE) and results from mesenteric vasculitis. Owing to diverse blood supply and presence of multiple collaterals, rectum is the least effected site in SLE enteritis. Ischemic proctocolitis as the presenting feature of SLE is exceedingly rare, with only three cases reported in the published scientific literature. We present the first case of SLE presenting as ischemic proctitis, leading to intraperitoneal hemorrhage and abdominal compartment syndrome. A young lady presented with ischemic proctitis and a hematoma masquerading as a pelvic mass, with subsequent development of massive intraperitoneal hemorrhage, shock, and rectal perforation. The patient required urgent surgery and was initiated on high-dose steroids. |
| format | Article |
| id | doaj-art-b3035b6f429d4b83b15cb0c3bc8ee8cd |
| institution | Kabale University |
| issn | 2090-6528 2090-6536 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-b3035b6f429d4b83b15cb0c3bc8ee8cd2025-02-03T01:26:56ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362020-01-01202010.1155/2020/57234035723403Systemic Lupus Erythematosus Presenting with Ischemic Proctitis and Abdominal Compartment SyndromeYousaf Bashir Hadi0John Lindsay1Syeda Fatima Zehra Naqvi2Hatim Al-Jaroushi3Department of Medicine, West Virginia University, Morgantown, WV, USAWest Virginia University School of Medicine, Morgantown, WV, USADepartment of Medicine, West Virginia University, Morgantown, WV, USADepartment of Medicine, Section of Pulmonary and Critical Care Medicine, West Virginia University, Morgantown, WV, USAIschemic colitis and proctitis is a rare manifestation of systemic lupus erythematosus (SLE) and results from mesenteric vasculitis. Owing to diverse blood supply and presence of multiple collaterals, rectum is the least effected site in SLE enteritis. Ischemic proctocolitis as the presenting feature of SLE is exceedingly rare, with only three cases reported in the published scientific literature. We present the first case of SLE presenting as ischemic proctitis, leading to intraperitoneal hemorrhage and abdominal compartment syndrome. A young lady presented with ischemic proctitis and a hematoma masquerading as a pelvic mass, with subsequent development of massive intraperitoneal hemorrhage, shock, and rectal perforation. The patient required urgent surgery and was initiated on high-dose steroids.http://dx.doi.org/10.1155/2020/5723403 |
| spellingShingle | Yousaf Bashir Hadi John Lindsay Syeda Fatima Zehra Naqvi Hatim Al-Jaroushi Systemic Lupus Erythematosus Presenting with Ischemic Proctitis and Abdominal Compartment Syndrome Case Reports in Gastrointestinal Medicine |
| title | Systemic Lupus Erythematosus Presenting with Ischemic Proctitis and Abdominal Compartment Syndrome |
| title_full | Systemic Lupus Erythematosus Presenting with Ischemic Proctitis and Abdominal Compartment Syndrome |
| title_fullStr | Systemic Lupus Erythematosus Presenting with Ischemic Proctitis and Abdominal Compartment Syndrome |
| title_full_unstemmed | Systemic Lupus Erythematosus Presenting with Ischemic Proctitis and Abdominal Compartment Syndrome |
| title_short | Systemic Lupus Erythematosus Presenting with Ischemic Proctitis and Abdominal Compartment Syndrome |
| title_sort | systemic lupus erythematosus presenting with ischemic proctitis and abdominal compartment syndrome |
| url | http://dx.doi.org/10.1155/2020/5723403 |
| work_keys_str_mv | AT yousafbashirhadi systemiclupuserythematosuspresentingwithischemicproctitisandabdominalcompartmentsyndrome AT johnlindsay systemiclupuserythematosuspresentingwithischemicproctitisandabdominalcompartmentsyndrome AT syedafatimazehranaqvi systemiclupuserythematosuspresentingwithischemicproctitisandabdominalcompartmentsyndrome AT hatimaljaroushi systemiclupuserythematosuspresentingwithischemicproctitisandabdominalcompartmentsyndrome |