Dificultades en el diagnóstico de enteritis lúpica: presentación de un caso

In lupus enteritis, circulating pathological immune complexes and thrombosis of intestinal vessels may occur, resulting in acute abdominal pain. We report a 24-year-old woman without a history of systemic lupus erythematosus (SLE), admitted for abdominal pain. An exploratory laparotomy found an appe...

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Autores principales:	Zúñiga Z.,Norma Lizeth, Gonzales J.,María Teresa, López A.,Gonzalo, Briones,Alfredo
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2019
Materias:	Acute, Abdomen Enteritis Lupus Erythematosus, Systemic
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000801073
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spelling	oai:scielo:S0034-988720190008010732019-10-24Dificultades en el diagnóstico de enteritis lúpica: presentación de un casoZúñiga Z.,Norma LizethGonzales J.,María TeresaLópez A.,GonzaloBriones,Alfredo Acute, Abdomen Enteritis Lupus Erythematosus, Systemic In lupus enteritis, circulating pathological immune complexes and thrombosis of intestinal vessels may occur, resulting in acute abdominal pain. We report a 24-year-old woman without a history of systemic lupus erythematosus (SLE), admitted for abdominal pain. An exploratory laparotomy found an appendicitis along with ascites. An appendectomy was performed, and the patient was discharged from the hospital two days later. Three days after discharge, the patient was admitted to another hospital due to the persistence of abdominal pain. An abdominal computed tomography scan showed diffuse mesenteric congestion, concentric bowel loops (double halo or target sign) and the presence of free fluid in the peritoneal cavity. Suspecting a rheumatic disorder, the diagnosis of SLE was confirmed by immunological studies. The patient was treated with pulses of methylprednisolone with good results.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.147 n.8 20192019-08-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000801073es10.4067/S0034-98872019000801073
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Acute, Abdomen Enteritis Lupus Erythematosus, Systemic
spellingShingle	Acute, Abdomen Enteritis Lupus Erythematosus, Systemic Zúñiga Z.,Norma Lizeth Gonzales J.,María Teresa López A.,Gonzalo Briones,Alfredo Dificultades en el diagnóstico de enteritis lúpica: presentación de un caso
description	In lupus enteritis, circulating pathological immune complexes and thrombosis of intestinal vessels may occur, resulting in acute abdominal pain. We report a 24-year-old woman without a history of systemic lupus erythematosus (SLE), admitted for abdominal pain. An exploratory laparotomy found an appendicitis along with ascites. An appendectomy was performed, and the patient was discharged from the hospital two days later. Three days after discharge, the patient was admitted to another hospital due to the persistence of abdominal pain. An abdominal computed tomography scan showed diffuse mesenteric congestion, concentric bowel loops (double halo or target sign) and the presence of free fluid in the peritoneal cavity. Suspecting a rheumatic disorder, the diagnosis of SLE was confirmed by immunological studies. The patient was treated with pulses of methylprednisolone with good results.
author	Zúñiga Z.,Norma Lizeth Gonzales J.,María Teresa López A.,Gonzalo Briones,Alfredo
author_facet	Zúñiga Z.,Norma Lizeth Gonzales J.,María Teresa López A.,Gonzalo Briones,Alfredo
author_sort	Zúñiga Z.,Norma Lizeth
title	Dificultades en el diagnóstico de enteritis lúpica: presentación de un caso
title_short	Dificultades en el diagnóstico de enteritis lúpica: presentación de un caso
title_full	Dificultades en el diagnóstico de enteritis lúpica: presentación de un caso
title_fullStr	Dificultades en el diagnóstico de enteritis lúpica: presentación de un caso
title_full_unstemmed	Dificultades en el diagnóstico de enteritis lúpica: presentación de un caso
title_sort	dificultades en el diagnóstico de enteritis lúpica: presentación de un caso
publisher	Sociedad Médica de Santiago
publishDate	2019
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000801073
work_keys_str_mv	AT zunigaznormalizeth dificultadeseneldiagnosticodeenteritislupicapresentaciondeuncaso AT gonzalesjmariateresa dificultadeseneldiagnosticodeenteritislupicapresentaciondeuncaso AT lopezagonzalo dificultadeseneldiagnosticodeenteritislupicapresentaciondeuncaso AT brionesalfredo dificultadeseneldiagnosticodeenteritislupicapresentaciondeuncaso
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Dificultades en el diagnóstico de enteritis lúpica: presentación de un caso

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