Clinical observation pseudoobstruction syndrome of the stomach's output part and small intestine of a patient with systematic lupus erythematosis


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Abstract

Stomach's output part and small intestine, combining with damaging of the urinary tract is a rare systemic lupus eritematosus (SLE) manifestation. The patient is 32 years old, suffering from SLE with damaged join, blood system, secondary antiphospholipid syndrome with pulmonary embolism in the history and formation of high postembolic pulmonary hypertension on therapy with hydroxychloroquine and low doses of corticosteroids, was hospitalized because of persistent nausea, vomiting, loss of more than 10 kg body weight 1.5 months. The research have shown the obstruction's formation of the stomach's output part, small bowel obstruction at several levels, as well as thickening of the bladder wall and the unilateral expansion of the ureter. Against the backdrop of strengthening of immunosuppressive therapy these lesions completely regressed.

About the authors

M Yu Gilyarov

I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenovskiy University); N.I. Pirogov City Clinical Hospital №1, Moscow Healthcare Department

д.м.н., доц. каф. профилактической и неотложной кардиологии Первого МГМУ им. И.М. Сеченова, заместитель главного врача по терапии в ГКБ №1 им. Н.И. Пирогова Moscow, Russia

N A Shostak

N.I. Pirogov City Clinical Hospital №1, Moscow Healthcare Departmen

к.м.н., зав. отд. терапии ГКБ №1 им. Н.И. Пирогова Moscow, Russia

D P Kotova

N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia

д.м.н., проф., зав. каф. факультетской терапии им. А.И. Нестерова РНИМУ им. Н.И. Пирогова Moscow, Russia

D Yu Schekochikhin

I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenovskiy University

к.м.н., ассистент каф. профилактической и неотложной кардиологии Первого МГМУ им. И.М. Сеченова Moscow, Russia

Yu O Kasha

N.I. Pirogov City Clinical Hospital №1, Moscow Healthcare Departmen

Email: julidrmd@gmail.com
врач отделения терапии ГКБ №1 им. Н.И. Пирогова Moscow, Russia

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