Ewha Med J.  2022 Jan;45(1):20-22. 10.12771/emj.2022.45.1.20.

Steroid Induced Perforation of Colon in Systemic Lupus Erythematosus

• Nam JH
• Chung SS
• Lee RA

• KMID: 2525290
• DOI: http://doi.org/10.12771/emj.2022.45.1.20

Abstract

no abstract available.

Figure

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  Fig. 1 Simple abdominal X-ray, erect. non-specific finding. Written informed consent was obtained for publication of this case report and accompanying images.

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  Fig. 2 Preoperative abdomen CT scan. (A) Pneumoperitoneum in perihepatic area (yellow arrow). (B) The pericolic infiltration in ascending colon with wall thickening (yellow arrow). (C) Pneumoperitoneum in pericolic area (yellow arrow). Written informed consent was obtained for publication of this case report and accompanying images.

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  Fig. 3 (A) Gross findings. A 1×2-cm-sized perforation site in colon (yellow arrow). (B) Zoom up the perforation site (yellow arrow). Written informed consent was obtained for publication of this case report and accompanying images.

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  Fig. 4 (A) Preoperative abdominal CT scan. Pericolic infiltration in ascending colon with pneumoperitoneum (yellow arrow). (B) Postoperative abdominal CT scan. Written informed consent was obtained for publication of this case report and accompanying images.

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  Fig. 5 Colonoscopic findings. (A, B) Hyperemic mucosal change with nodular lesion. Chronic inflammation. Written informed consent was obtained for publication of this case report and accompanying images.

Reference

1. Gu Y, Zhu T, Wang Y, Xu H. 2015; Systemic lupus erythematosus with intestinal perforation: a case report. Exp Ther Med. 10:1234–1238. DOI: 10.3892/etm.2015.2639. PMID: 26622471. PMCID: PMC4533166.

2. Huang DF, Chen WS. 2009; Images in clinical medicine. Lupus-associated intestinal vasculitis. N Engl J Med. 361:e3. DOI: 10.1056/NEJMicm0801958. PMID: 19605826.

3. ReMine SG, McIlrath DC. 1980; Bowel perforation in steroid-treated patients. Ann Surg. 192:581–586. DOI: 10.1097/00000658-198010000-00016. PMID: 7425698. PMCID: PMC1347010.

4. Latif E, Musthafa S, Ahmed A, Abu Amr A. 2020; Stercoral perforation of sigmoid colon in systemic lupus erythematosus: a rare cause of peritonitis. Cureus. 12:e9495. DOI: 10.7759/cureus.9495. PMID: 32879819. PMCID: PMC7458703.