Ruptured mycotic abdominal aortic aneurysm in a patient with systemic lupus erythematosus.
Abdominal pain, a common condition, has been reported in up to 37|X% of-patients with systemic lupus erythematosus (SLE) (1). There are many possible causes including peritonitis, pancreatitis, mesenteric vasculitis, thrombosis of the mesenteric vessels, intra-abdominal infections, or side effects of the medications used in the treatment of the disease, especially non-steroidal anti-inflammatory drugs (1-3). However, ruptured mycotic aneurysm of the abdominal aorta has rarely been mentioned as a cause of abdominal pain in SLE (1-3). We recently saw a patient with SLE who had an acute surgical abdomen, which proved to have been caused by a rupture of a mycotic abdominal aortic aneurysm.
Louthrenoo
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Division of Rheumatology, Department of Medicine (WI., A.N., W.S.) and the Department of Radiology (W.O.), Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand.
Ojarasporn
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Norasetthada
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A
Sukitawut
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