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©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Sep 27, 2023; 15(9): 2074-2082
Published online Sep 27, 2023. doi: 10.4240/wjgs.v15.i9.2074
Published online Sep 27, 2023. doi: 10.4240/wjgs.v15.i9.2074
Acute flare of systemic lupus erythematosus with extensive gastrointestinal involvement: A case report and review of literature
Hua Huang, Ping Li, Ming-Xuan Zhang, Department of Rheumatology and Immunology, General Hospital of Northern Theater Command, Shenyang 110000, Liaoning Province, China
Dan Zhang, Department of Nutrition, General Hospital of Northern Theater Command, Shenyang 110000, Liaoning Province, China
Kai Yu, Department of Gastroenterology, General Hospital of Northern Theater Command, Shenyang 110000, Liaoning Province, China
Author contributions: Huang H and Li P contributed to manuscript drafting; Zhang MX was the physician responsible for the patient's diagnosis and treatment in the Rheumatology and Immunology Department; Zhang D was the patient’s nutritionist and provided nutritional guidance; Yu K was the patient’s admitting physician in the Gastroenterology Department; All authors were responsible for the revision of the manuscript and final approval for submission.
Informed consent statement: Consent was obtained from the patient, both verbally and in written form and has been attached to this submission.
Conflict-of-interest statement: The authors declare no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ping Li, PhD, Doctor, Department of Rheumatology and Immunology, General Hospital of Northern Theater Command, No. 83 Wenhua Road, Shenhe District, Shenyang 110000, Liaoning Province, China. graceli008@sohu.com
Received: April 24, 2023
Peer-review started: April 24, 2023
First decision: June 12, 2023
Revised: July 9, 2023
Accepted: July 28, 2023
Article in press: July 28, 2023
Published online: September 27, 2023
Peer-review started: April 24, 2023
First decision: June 12, 2023
Revised: July 9, 2023
Accepted: July 28, 2023
Article in press: July 28, 2023
Published online: September 27, 2023
Core Tip
Core Tip: When a systemic lupus erythematosus patient presenting with gastrointestinal symptoms, lupus mesenteric vasculitis (LMV) must be considered despite being rare. Enhanced abdominal computed tomography revealing thicked jejunal wall (target sign) and engorgement of the mesenteric vessels (comb sign) were suggestive of mesenteric vasculitis and provide evidence for accurately treatment. Abdominal ultrasonography can be a reliable tool used for preliminary screening, therapeutic evaluation and follow-up for LMV.