Asian Journal of Research and Reports in Gastroenterology

Isolated Massive Ascites Revealing Systemic Lupus Erythematosus

Salem Bouomrani *

Department of Internal Medicine, Military Hospital of Gabes, Gabes 6000, Tunisia., Sfax Faculty of Medicine, University of Sfax, Sfax 3029, Tunisia.

Wided Letaïef

Sfax Faculty of Medicine, University of Sfax, Sfax 3029, Tunisia., Department of Gynecology, Regional Hospital of Gabes, Mtorrech 6014, Tunisia.

*Author to whom correspondence should be addressed.

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Abstract

Serositiscan be noted in 10-16% of patients followed for systemic lupus erythematosus (SLE). They are by far dominated by pleural and pericardial effusions; ascites, however, remains extremely rare. The ascites associated with SLE is exceptionally primitive due to lupus peritonitis with only a few sporadic cases reportedin the medical literature. It may exceptionally be the first manifestation revealing SLE representing a real diagnostic and therapeutic challenge for clinicians.

We report an original observation of isolated massive ascites due to lupus peritonitis revealing systemic lupus a 28-year-old Tunisian woman.

Keywords: Massive ascites, lupus peritonitis, systemic lupus erythematosus

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