Systemic lupus erythematosus with a giant rectal ulcer and perforation

Citation
J. Teramoto et al., Systemic lupus erythematosus with a giant rectal ulcer and perforation, INTERN MED, 38(8), 1999, pp. 643-649
Citations number
27
Language
INGLESE
art.tipo
Article
Categorie Soggetti
General & Internal Medicine
Journal title
INTERNAL MEDICINE
ISSN journal
0918-2918 → ACNP
Volume
38
Issue
8
Year of publication
1999
Pages
643 - 649
Database
ISI
SICI code
0918-2918(199908)38:8<643:SLEWAG>2.0.ZU;2-1
Abstract
A 41-year-old man with systemic lupus erythematosus (SLE) who developed pel vic inflammation due to perforation of a giant rectal ulcer is described. T he patient presented with persistent diarrhea, abdominal pain and fever wit hout development of disease activity of SLE. Endoscopic and radiological ex aminations revealed a perforated giant ulcer on the posterior wall at the r ectum below the peritoneal evagination. The ulcerated area was decreased af ter a colostomy was performed at the transverse colon to preserve anal func tion. The patient is currently being monitored on an outpatient basis. It s hould be noted that life-threatening complications such as perforated ulcer of the intestinal tract could occur without SLE disease activity.