Acute abdomen and lupus enteritis: Thrombocytopenia and pneumatosis intestinalis as indicators for surgery

摘要: Bowel symptoms occur often in systemic lupus erythematosus (SLE), but enteric complications patients on steroid therapy are rare. We report a case of 14-year-old Mexican girl with SLE high-dose complicated by abdominal vasculitis and small bowel perforation. Accompanying this serious complication were thrombocytopenia radiographic changes pneumatosis intestinalis. These findings suggested necrotizing enteritis prompted urgent surgery. Four jejunal perforations, intestinalis, submucosal present the resected specimen. Persistent activity responded to cyclophosphamide, which is indicated digestive who fail respond steroids.