Bansal Rinkesh K, Kumar Ashish, Bansal Naresh, Arora Anil
Department of Gastroenterology & Hepatology, Sir Ganga Ram Hospital, New Delhi, India.
Saudi Med J. 2013 Nov;34(11):1189-91.
Systemic lupus erythematosus (SLE) is a multi-organ disorder, which can involve any system of the body, single, or in combination. In the gastrointestinal tract, it can present as nausea, vomiting, abdominal pain, gastroesophageal reflux, dysphagia, constipation, diarrhea, fecal incontinence, intestinal pseudo-obstruction, perforation, and hemorrhage. Abdominal cocoon or sclerosing-encapsulated peritonitis is a rare cause of intestinal obstruction, resulting from the encasement of variable lengths of bowel by a dense fibrocollagenous membrane that gives the appearance of a cocoon. It is often seen in adolescent girls. We hereby present a case of abdominal cocoon with repeated vomiting and subacute intestinal obstruction as presenting features of SLE in a young girl. The abdominal features responded well to steroids and immunosuppressive therapy.
系统性红斑狼疮（SLE）是一种多器官疾病，可累及身体的任何系统，可为单一系统或多个系统同时受累。在胃肠道，其表现可为恶心、呕吐、腹痛、胃食管反流、吞咽困难、便秘、腹泻、大便失禁、假性肠梗阻、穿孔和出血。腹茧症或硬化性包裹性腹膜炎是肠梗阻的罕见病因，由致密的纤维胶原膜包裹不同长度的肠管所致，形似茧状。多见于青春期女孩。我们在此报告一例以反复呕吐和亚急性肠梗阻为特征表现的SLE年轻女孩腹茧症病例。腹部症状对类固醇和免疫抑制治疗反应良好。
