系统性红斑狼疮伴结肠多部位慢性病变及梗阻一例报告并文献复习  

Systemic lupus erythematosus with multiple colonic lesions and obstruction:a case report and literature review

作　　者：王李 钟鹏 田跃 叶景旺 童卫东 Wang Li;Zhong Peng;Tian Yue;Ye Jingwang;Tong Weidong(Department of Gastrointestinal Surgery,Daping Hospital,Army Military Medical University,Chongqing 400039,China;Department of Pathology,Daping Hospital,Army Military Medical University,Chongqing 400039,China)

机构地区：[1]陆军军医大学附属大坪医院胃肠外科,重庆400039 [2]陆军军医大学附属大坪医院病理科,重庆400039

出　　处：《中华结直肠疾病电子杂志》2020年第6期630-632,共3页Chinese Journal of Colorectal Diseases(Electronic Edition)

基　　金：国家自然科学基金项目(No.81770541);陆军军医大学临床创新课题(No.2014YLC04)。

摘　　要：系统性红斑狼疮(SLE)是一种自身免疫性疾病,SLE合并消化系统受累在临床上较为常见。狼疮性肠系膜血管炎(LMV)是SLE累及消化道的主要表现形式,但它所引起的腹痛等消化道症状却因症状体征轻、特异性低不易被临床医生所重视。本例SLE患者反复腹痛近20年,先后出现升结肠和乙状结肠的节段性病变伴慢性穿孔及梗阻,均通过外科手术治疗及术后病理得以证实,较为罕见。Systemic lupus erythematosus(SLE)is an autoimmune disease.SLE combined with digestive system involvement is a common clinical disease.Lupus mesenteric vasculitis(LMV)is the main manifestation of the accumulated digestive tract in SLE,but the gastrointestinal symptoms such as abdominal pain caused by LMV are not easy to be valued by clinicians due to their mild symptoms and low specificity.This patient with SLE had recurrent abdominal pain for nearly 20 years.Segmental lesions and chronic perforation in the ascending colon and sigmoid colon occurred successively,which were confirmed by surgical treatment and postoperative pathology.And this was a rare case.

关 键 词：结肠 系统性红斑狼疮 狼疮性肠系膜血管炎 腹痛 手术 

分 类 号：R593.241[医药卫生—内科学] R574.62[医药卫生—临床医学]