Seo M R, Sung J Y, Cho H J, Ryu H J, Choi H-J, Park C-Y, Baek H J
Department of Rheumatology.
Department of Obstetrics and Gynecology, Gachon University Gil Medical Center, Incheon, Republic of Korea.
Lupus. 2014 Oct;23(11):1207-10. doi: 10.1177/0961203314540763. Epub 2014 Jun 27.
Ascites in systemic lupus erythematosus (SLE) patients has a variety of etiologies, which usually require different treatment options. Our case was a 22-year-old patient with an unusual combination of ascites, uterine leiomyoma and SLE. The patient presented with painless ascites of an inflammatory nature. However, the ascites was not related to peritonitis and SLE disease activity. The ascites disappeared following laparotomy and tumor resection without additional medication. Gynecologic benign tumors including uterine leiomyoma can be the cause of ascites in SLE patients. Clinicians should be aware of that possibility in case painless ascites occurs in females with SLE.
系统性红斑狼疮（SLE）患者的腹水有多种病因，通常需要不同的治疗方案。我们的病例是一名22岁的患者，患有腹水、子宫肌瘤和SLE的不寻常组合。患者表现为炎症性质的无痛性腹水。然而，腹水与腹膜炎和SLE疾病活动无关。剖腹手术和肿瘤切除后腹水消失，无需额外用药。包括子宫肌瘤在内的妇科良性肿瘤可能是SLE患者腹水的原因。临床医生在SLE女性患者出现无痛性腹水时应意识到这种可能性。
