Systemic Lupus Erythematosus Presenting with Ischemic Proctitis and Abdominal Compartment Syndrome.

摘要: Ischemic colitis and proctitis is a rare manifestation of systemic lupus erythematosus (SLE) results from mesenteric vasculitis. Owing to diverse blood supply presence multiple collaterals, rectum the least effected site in SLE enteritis. proctocolitis as presenting feature exceedingly rare, with only three cases reported published scientific literature. We present first case ischemic proctitis, leading intraperitoneal hemorrhage abdominal compartment syndrome. A young lady presented hematoma masquerading pelvic mass, subsequent development massive hemorrhage, shock, rectal perforation. The patient required urgent surgery was initiated on high-dose steroids.