Ho M S, Teh L B, Goh H S
Department of Pathology, Singapore General Hospital.
Ann Acad Med Singap. 1987 Jul;16(3):501-3.
We report a case of perforation of the colon from systemic lupus erythematosus (SLE) presenting initially with diarrhoea and later with acute abdominal symptoms. She was found to have widespread arteriolitis involving the colon resulting in necrosis, ulceration and perforation with peritonitis and ultimately, death from septicaemia. Although intra-abdominal symptoms are not uncommon in cases of SLE, actual involvement of the gastrointestinal tract of a degree severe enough to warrant surgical intervention is a relatively uncommon phenomenon.
我们报告一例系统性红斑狼疮（SLE）导致的结肠穿孔病例，该患者最初表现为腹泻，随后出现急性腹部症状。发现她患有累及结肠的广泛性小动脉炎，导致坏死、溃疡和穿孔，并伴有腹膜炎，最终因败血症死亡。虽然SLE患者出现腹部症状并不罕见，但胃肠道受累程度严重到需要手术干预的情况相对少见。
