Massive Ascites, Protein Losing Enteropathy and Pseudo-Obstruction as Rare Manifestations of Systemic Lupus Erythematosus in a known case of Immune Thrombocytopenic Purpura

Abstract

Systemic lupus erythematosus (SLE) is an autoimmune inflammatory disease with diverse clinical manifestations involving multiple organ systems. Peritoneal involvement as a sign of gastrointestinal disease in SLE is a rare condition. Massive ascites as the initial manifestation of SLE is an extremely rare situation. Here, we report a 13-year-old female with bile-stained vomiting, ascites and signs of pseudo-obstructions with a past medical history of immune thrombocytopenic purpura (ITP) who was later diagnosed to have SLE.