Systemic lupus erythematosus presenting with pneumoperitoneum without evidence of pneumatosis cystoides intestinalis-when not to operate-A case report

Authors

Wafa Iftekhar, Aga Khan UniversityFollow
Hafsa Shaikh, Aga Khan UniversityFollow
Abdul Rehman Alvi, Aga Khan UniversityFollow

Document Type

Case Report

Department

General Surgery

Abstract

Pneumoperitoneum in patients with systemic lupus erythematosus is commonly recognized as a surgical emergency that requires exploration. However, it may not be associated with bowel perforation and may be a benign disease manifestation. We present a case of a young patient who developed spontaneous pneumoperitoneum after pulse steroid therapy for lupus enteritis and was successfully managed conservatively. Patients with connective tissue disease may present with pneumoperitoneum, with or without pneumatosis cystoides intestinalis. Therefore, a detailed clinical history, thorough clinical examination, and laboratory parameters should be evaluated before proceeding with surgical intervention. A conservative approach may be attempted in patients with spontaneous pneumoperitoneum, and surgery should only be considered if clinical deterioration occurs.

Comments

Volume and pagination are not provided by author/publisher.

Publication (Name of Journal)

Journal of Surgical Case Reports

DOI

10.1093/jscr/rjae182

Recommended Citation

Iftekhar, W., Shaikh, H., Alvi, A. (2024). Systemic lupus erythematosus presenting with pneumoperitoneum without evidence of pneumatosis cystoides intestinalis-when not to operate-A case report. Journal of Surgical Case Reports(3).
Available at: https://ecommons.aku.edu/pakistan_fhs_mc_surg_gen/480