Ileal perforation as an initial manifestation of systemic lupus erythematosus: A case report

• DOI: 10.1016/j.ijscr.2021.106409
• Publication Date: 2021-09-15T02:39:24Z
• Authors: Bibek Man Shrestha; Suraj Shrestha; Sanjeev Kharel; Ajay K.C.; Sujan Shrestha; Sumita Pradhan; Ramesh Singh Bhan...
• Keywords: Perforation; Gastrointestinal perforation; Ileostomy; Acute abdomen

Lupus enteritis is uncommon in patients with SLE and usually presents anorexia, vomiting, abdominal pain. Intestinal perforation as an initial manifestation of rare can have a grave prognosis if not timely diagnosed.We report unusual case 22-year-old regularly menstruating female who presented features peritonitis lupus enteritis. Intraoperatively, gangrenous ileal segment multiple perforations was present. Thus, intraoperative diagnosis peritonitis, the small bowel resected double-barrel jejuno-ileostomy created.Lupus manifesting initially be cause acute abdomen. A plain chest X-ray show gas under diaphragm suggesting perforation. contrast-enhanced CT scan abdomen gold standard diagnosing good on steroids.Primary closure, resection, anastomosis gut or diverting stoma are required for management high degree clinical suspicion early thus preventing such entity.