A painless growing abdominal mass in a patient with systemic lupus erythematosus  

作　　者：Min Li Zhanlong Shen Yuebo Jin Jing He 

机构地区：[1]Department of Rheumatology and Immunology,Peking University People's Hospital,Beijing,China [2]Department of Gastroenterological Surgery,Peking University People's Hospital,Beijing,China

出　　处：《Rheumatology & Autoimmunity》2024年第1期65-66,共2页风湿病与自身免疫（英文）

基　　金：National Natural Science Foundation of China,Grant/Award Numbers:82071813 and 82171772.

摘　　要：A 59-year-old woman was admitted to Peking University People's Hospital with a 6-month history of a palpable growing abdominal mass.She had no fever,abdominal pain,hematochezia,or vaginal bleeding but had a 13-year history of systemic lupus erythematosus,thrombocytopenia,and hypertension.Physical examination showed a large,painless,firm abdominal mass with limited mobility.Complete blood count showed a hemoglobin concentration of 109 g/L,neutrophilic leukocytosis(9.6×10^(9)/L),and thrombocytopenia(47×10^(9)/L).Antinuclear antibodies were present at a titer of 1:640 and antidouble-stranded DNA antibody was positive.Blood tests for carbohydrate antigen(CA)19-9,carcinoembryonic antigen,CA-125,and alpha-fetoprotein were performed:only CA-125 was elevated.The mass measuring 12 cm by 10 cm by 8 cm had been detected by laparoscopy in another hospital 4 months ago.It was tightly associated with the intestine,with tortuous blood vessels on the surface.However,the surgery had not been done because of her low platelets and extremely high bleeding risk.Contrast-enhanced computed tomography revealed an irregular cystic mass,measuring 12.1 cm by 11.2 cm by 14.8 cm(Figure 1A),with heterogeneous enhancement.The cystic mass contained thickened septa.

关 键 词：ABDOMINAL mass MESENTERIC VASCULITIS systemic LUPUS ERYTHEMATOSUS 

分 类 号：R593.241[医药卫生—内科学]