期刊论文详细信息
BMC Pregnancy and Childbirth | |
Massive ascites due to lupus peritonitis in a patient with pre-eclampsia and systemic lupus erythematosus: a case report | |
Takayuki Enomoto1  Kana Tamegai2  Shunya Sugai2  Kazufumi Haino2  Koji Nishijima2  Kazuaki Suda2  Ichiei Narita3  Takeshi Nakatsue3  | |
[1]Department of Obstetrics and Gynecology, Niigata University Graduate School of Medical and Dental Sciences | |
[2]Department of Obstetrics and Gynecology, Niigata University Medical and Dental Hospital | |
[3]Division of Clinical Nephrology and Rheumatology, Niigata University Graduate School of Medical and Dental Sciences | |
关键词: Ascites; Peritonitis; Pre-eclampsia; Systemic lupus erythematosus; | |
DOI : 10.1186/s12884-022-04550-0 | |
来源: DOAJ |
【 摘 要 】
Abstract Background Patients with systemic lupus erythematosus (SLE) are associated with pre-eclampsia. Pre-eclampsia can have systemic manifestations, such as ascites. Lupus peritonitis, a rare condition in patients with SLE, can also cause ascites. Case presentation A 31-year-old woman, primigravida, with SLE had a blood pressure of 170/110 mmHg and proteinuria at 29 weeks of gestation. She was diagnosed with pre-eclampsia. Her blood pressure was stabilized by an antihypertensive drug. At 30 weeks of gestation, a cesarean section was performed for maternal safety because of decreased urine output and massive ascites. Postoperatively, re-accumulation of ascites was observed. On the fourth postoperative day, ascites (approximately 3 L) was discharged from the cesarean section wound. A decrease in serum complement concentrations was observed, and she was diagnosed as having lupus peritonitis. The steroid dose was increased and she recovered well thereafter. Conclusions Ascites occurs in pre-eclampsia and SLE, but determining which of these conditions causes ascites can be difficult. However, careful observation is necessary because of the differences in treatment of these two conditions.【 授权许可】
Unknown