African Journal of Rheumatology

Log in or Register to get access to full text downloads.

Remember me or Register

DOWNLOAD FULL TEXT Open Access  DOWNLOAD FULL TEXT Subscription or Fee Access

Systemic lupus erythematosus with intestinal pseudoobstruction: a case report and review of the literature

E.K. Genga, B Macira, N Githua, A.J.O. Were


Intestinal pseudo-obstruction is a rare complication of Systemic Lupus Erythematosus (SLE). Due to diagnostic challenges, it can go largely unrecognized. It is characterized by features of mechanical obstruction of the small or large bowel in the absence of an anatomic lesion obstructing the flow of intestinal contents. There are a paucity of case reports in literature worldwide. We report two cases of intestinal pseudoobstruction in which one patient survived. The two cases illustrate the need for a high index of suspicion for diagnosis and early intervention with systemic high dose corticosteroids and IVIG. This will avert surgical intervention and reduce the mortality rate from this manifestation of lupus.

Keywords: Systemic lupus erythematosus, Intestinal pseudo-obstruction

AJOL African Journals Online