Systemic lupus erythematosus with rectal stenosis simulating tumour or diverticulosis. Case report.
A case of systemic lupus erythematosus (SLE) with focal involvement of the rectum is reported. The lesion roentgenologically resembled a malignant tumour and was resected. Histologic examination disclosed only typical SLE changes in a very restricted area, with the remaining gastrointestinal tract unaffected. This appears to be the first report of focal colitis as a complication of SLE. The case points the importance of suspecting symptoms from any organ system in patients with connective tissue disorders to be manifestations of that underlying pathology.
D000328:Adult; D003937:Diagnosis, Differential; D004240:Diverticulum / Q000473:pathology*; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000473:pathology; D008297:Male; D012002:Rectal Diseases / Q000150:complications* / Q000473:pathology; D012004:Rectal Neoplasms / Q000473:pathology*