Clinical Rheumatology

, Volume 31, Issue 6, pp 1019–1025

Life-threatening spontaneous splenic rupture with systemic lupus erythematosus: case report and literature review

  • Jie Han
  • Ning Li
  • JiaYi Wang
  • JieRu Zhou
  • Jie Zhang
Case Based Review

DOI: 10.1007/s10067-011-1934-8

Cite this article as:
Han, J., Li, N., Wang, J. et al. Clin Rheumatol (2012) 31: 1019. doi:10.1007/s10067-011-1934-8

Abstract

Although involvement of the reticuloendothelial system in systemic lupus erythematosus (SLE) is a well-recognised concomitant of the disease, spontaneous splenic rupture is an unusual occurrence. We observed a 54-year-old woman with SLE who had spontaneous splenic rupture during the late course of the disease and showed some changes histopathologically. The courses and the clinical characteristics of such patients are reviewed, and the diagnosis and treatment of these cases are discussed. Early evaluation for SLE patients with spontaneous splenic rupture should be considered and included in the differential diagnosis of acute abdomen, as it may affect follow-up and treatment, although the condition is rare.

Keywords

Spleen Spontaneous rupture Systemic lupus erythematosus 

Copyright information

© Clinical Rheumatology 2012

Authors and Affiliations

  • Jie Han
    • 1
  • Ning Li
    • 1
  • JiaYi Wang
    • 1
  • JieRu Zhou
    • 1
  • Jie Zhang
    • 1
  1. 1.Department of RheumatologyTong Ji University Affiliated Shanghai East HospitalShanghaiChina

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