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- Title
Massive ascites due to lupus peritonitis in a patient with pre-eclampsia and systemic lupus erythematosus: a case report.
- Authors
Sugai, Shunya; Suda, Kazuaki; Tamegai, Kana; Haino, Kazufumi; Nakatsue, Takeshi; Narita, Ichiei; Enomoto, Takayuki; Nishijima, Koji
- Abstract
<bold>Background: </bold>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.<bold>Case Presentation: </bold>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.<bold>Conclusions: </bold>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.
- Subjects
SYSTEMIC lupus erythematosus; PERITONITIS; ASCITES; ECLAMPSIA; ANTIHYPERTENSIVE agents
- Publication
BMC Pregnancy & Childbirth, 2022, Vol 22, Issue 1, p1
- ISSN
1471-2393
- Publication type
case study
- DOI
10.1186/s12884-022-04550-0