Mesenteric vasculitis causing ileocecal intussusception as the initial presentation of systemic lupus erythematosus: a case report.
Mesenteric vasculitis is one of the most devastating complications of systemic lupus erythematosus (SLE) and may produce a spectrum of complications, including ulceration, hemorrhage, bowel necrosis, perforation, serositis, and ascites. Intussusception is a process in which a segment of intestine invaginates into the adjoining intestinal lumen, causing bowel obstruction. Intussusception in association with SLE has rarely been reported. Here we report a case of SLE whose initial presentation was mesenteric vasculitis causing ileocecal intussusception.
Division of Allergy, Immunology and Rheumatology, Chi-Mei Medical Center, No. 901, Zhonghua Rd, Yongkang City, Tainan County 71004, Taiwan. linyeongjang@yahoo.com.tw
Yeong-Jang
YJ
Lin
Pei-Chih
PC
Chen
Hung-An
HA
Chen
D003520:Cyclophosphamide / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D007080:Ileocecal Valve / Q000473:pathology*; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D007443:Intussusception / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D008180:Lupus Erythematosus, Systemic / Q000150:complications / Q000175:diagnosis*; D008643:Mesentery / Q000098:blood supply; D008775:Methylprednisolone / Q000627:therapeutic use; D020551:Pulse Therapy, Drug; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014657:Vasculitis / Q000150:complications / Q000175:diagnosis*; D055815:Young Adult
D005938:Glucocorticoids; D007166:Immunosuppressive Agents; D003520:Cyclophosphamide; D008775:Methylprednisolone