急性ループス腹膜炎の1例

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  • A CASE OF ACUTELUPUS PERITONITIS

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We experienced a case of lupus peritonitis which presented difficulty in differential diagnosis from strangulated ileus.<br> A 34-year-old woman was seen at the hospital because of abdominal pain lasting for 2 days. There were previous hitories of undergoing an appendectomy and being diagnosed as SLE, for that she had been treated as an outpatient at another hospital for about one year. This time after she was first seen, Blumberug signs and peritonial signs became prominent and a laparotomy was performed for the most probable diagnosis of strangulated ileus. During surgery, there were a large quantity of yellowish transparent ascites and serositis like reddening and swelling of the entire small intestine. Since the patient had an underlying disease of SLE, administration of steroid was started after the operation with the diagnosis of acute lupus peritonitis. Consequently, those abdominal findings completely disappeared. Lupus peritonitis is an internally manageable peritonitis. In order to avoid useless laparotomy, we must keep lupus peritonis in mind as a probable differential diagnosis for acute abdomen in patients with previous history of SLE, especially juvenile and middle-aged women.

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