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- Fang-Jie Zhang, Juan Zhang, Li-Ping Zhou, Ai-Min Wang, and Xiang-Min Li.
- Department of Emergency Medicine, Xiangya Hospital, Central South University, Changsha, Hunan, China, 410008.
- Am J Emerg Med. 2019 Jan 1; 37 (1): 176.e1-176.e2.
AbstractSmall bowel obstruction is common in emergency departments. However, the exact cause of intestinal pseudo-obstruction (IPO) is often misdiagnosed. IPO is considered a severe manifestation of systemic lupus erythematosus (SLE). However, IPO is rare as the initial manifestation of SLE. This paper reports a female patient who presented with IPO as the initial manifestation and was ultimately diagnosed with SLE. The 31-year-old female was definitively diagnosed with SLE after IPO symptoms for 1 month. She then presented multiple organ dysfunction syndrome (MODS) leading to a poor prognosis. Patients with unexplained SBO symptoms should be aware of systemic diseases. Early diagnosis and prompt medical treatment are crucial to avoid unnecessary surgery and obtain satisfactory outcomes.Copyright © 2018 Elsevier Inc. All rights reserved.
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