Department of Rheumatology and Immunology, Beijing Chao-Yang Hospital, Capital Medical University, No. 8 Gong-Ti South Road, Chaoyang District, Beijing, 100020, People's Republic of China.
Department of Rheumatology and Immunology, Zhengzhou University First Affiliated Hospital, Zhengzhou, 450000, China.
Clin Rheumatol. 2018 Jan;37(1):285-288. doi: 10.1007/s10067-017-3879-z. Epub 2017 Oct 27.
Intussusception is characterized by one segment of the gastrointestinal tract telescoping into the lumen of the adjacent segment; it is rarely reported in systemic lupus erythematosus (SLE), and the condition can be threatening. Only four cases of intussusception with SLE have been reported in literature. Here, we describe a new case of a patient with ileocecal intussusception merged with SLE, who was diagnosed using abdominal computed tomography and successfully treated with high-dose intravenous immunoglobulin (IVIG) and pulse methylprednisolone.
肠套叠的特征为一段肠管套入其相连的肠腔内；系统性红斑狼疮（SLE）并发肠套叠少见，且可能危及生命。文献中仅有 4 例 SLE 并发肠套叠的报道。本文报道了一例新的回盲部肠套叠合并 SLE 的患者，采用腹部 CT 诊断，并成功地使用大剂量静脉注射免疫球蛋白（IVIG）和脉冲甲基强的松龙进行治疗。
