Gastrointestinal perforation due to lupus enteritis in early-stage systemic lupus erythematosus
Clicks: 1
ID: 320768
2026
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This
article has not been analysed, so there is no overall score —
reader engagement is measured and shown alongside.
Reader Engagement
0.0
/100
1 views
0 readers
AI Quality Assessment
Not analyzed
Readership in this journal
Ranked #13 of 43 articles by views in Modern Rheumatology Case Reports
Most read
Least read
Bar heights use a square-root scale.
Mint this article as an NFT
Not yet mintedCreate a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.
5
SUSD
one-off · no wallet required
Abstract
Lupus enteritis (LE) is an uncommon gastrointestinal (GI) manifestation of systemic lupus erythematosus (SLE) and GI perforation is a rare, but a severe complication of LE that is typically found in patients with high disease activity and a long disease duration. Herein, we present the case of a previously healthy 31-year-old Thai man who developed SLE complicated by LE. He was admitted to our hospital with refractory thrombocytopenia despite initial treatment with high-dose prednisolone, mycophenolate mofetil, and plasma exchange. Although the abdominal pain initially improved, residual pain persisted in the left side of the abdomen at the time of transfer. The abdominal pain gradually worsened despite starting rituximab therapy. Colonoscopy revealed extensive necrosis of the descending colon, and contrast-enhanced abdominal computed tomography revealed colonic perforation. Emergency surgery revealed ischemia extending from the distal transverse, to an entirely perforated descending colon. Histopathological findings suggested that the colonic perforation was attributable to SLE-associated mesenteric vasculitis. The LE did not recur postoperatively. Because LE might lead to GI perforation even during the early stages of SLE, patients with high disease activity and persistent abdominal pain should be closely monitored, and treatment should be promptly escalated given the potential risk of perforation.
| Reference Key |
openalex_W7168081010
Use this key to autocite in the manuscript while using
SciMatic Manuscript Manager or Thesis Manager
|
|---|---|
| Authors | Shu Sugimoto, Jun-Ichi Kurashina, Naoki Tanomogi, Tatsuya Kobayashi, Takanori Ichikawa, Dai Kishida, Yasuhiro Shimojima, Y Sekijima |
| Journal | Modern Rheumatology Case Reports |
| Year | 2026 |
| DOI |
10.1093/mrcr/rxag074
|
| URL | |
| Keywords | Keywords not found |
Citations
No citations found. To add a citation, contact the admin at info@scimatic.org
Comments
No comments yet. Be the first to comment on this article.