Department of Nephrology and Rheumatology, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, P. R. China.
J Int Med Res. 2021 Feb;49(2):300060520987944. doi: 10.1177/0300060520987944.
We report herein an unusual case of systemic lupus erythematosus in a 35-year-old woman who developed acute abdominal pain while hospitalized. Abdominal computed tomography (CT) scan with enhancement indicated long-segment inflammatory lesions in the right ureter. The patient received spasmolytic and analgesic drugs with poor effect and continued to have persistent severe abdominal pain and signs of peritonitis. We suspected that the patient had acute abdominal disease, but no abnormality was detected during laparoscopic surgery. Therefore, we considered the possibility of right upper urinary tract hydronephrosis; the patient's abdominal pain was relieved after double-J tube implantation. The patient's clinical symptoms improved after hormone and mycophenolate mofetil therapy for 1 year, and all laboratory indicators returned to normal. Reexamination by abdominal CT showed that the long-segment inflammatory lesions of the right ureter had resolved. Early identification and diagnosis are important for ureteritis associated with systemic lupus erythematosus.
我们在此报告一例不常见的系统性红斑狼疮病例，一名 35 岁女性在住院期间出现急性腹痛。增强腹部计算机断层扫描（CT）显示右输尿管存在长段炎症性病变。患者接受解痉和镇痛药物治疗，但效果不佳，持续出现严重腹痛和腹膜炎体征。我们怀疑患者患有急性腹部疾病，但腹腔镜检查未发现异常。因此，我们考虑右上尿路积水的可能性；患者腹痛在双 J 管植入后缓解。患者接受激素和霉酚酸酯治疗 1 年后临床症状改善，所有实验室指标恢复正常。腹部 CT 复查显示右输尿管长段炎症性病变已消退。早期识别和诊断对于与系统性红斑狼疮相关的输尿管炎很重要。
