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August 1982, Vol 136, No. 8 >
Article | August 1982

Torsion of Appendix Epiploica and Acute Abdominal Pain in Systemic Lupus Erythematosus FREE

KENNETH N. SCHIKLER, MD; HIRIKATI S. NAGARAJ, MD; KENNETH M. HODGE, MD
Am J Dis Child. 1982;136(8):748. doi:10.1001/archpedi.1982.03970440092032.
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Systemic lupus erythematosus (SLE) is a disease with protean manifestations. The incidence of severe abdominal pain has been reported to be as high as 18%.1 The differential diagnosis for severe abdominal pain in patients with SLE includes appendicitis, pancreatitis, cholecystitis, ulcerative colitis, regional enteritis, diverticulitis, pelvic inflammatory disease, perforated peptic ulcer, lupus polyserositis, and mesenteric arthritis with intestinal ischemia2; cases of adynamic small-bowel obstruction, spontaneous rupture of the liver or spleen, and omental infarct have been cited by Stoddard et al, whose review of the world literature contains 36 cases of patients with SLE whose acute abdominal pain required laparotomy.3 We report an additional case, with a cause that, to our knowledge, has not been reported.

Report of a Case.—The patient is a 15-year-old, Tanner stage II girl in whom the diagnosis of SLE was made at age 11 when she was found to have multisystem

REFERENCES

1 +
Harvey AM, Shulman LE, Tumulty PA:  Systemic lupus erythematosus: Review of the literature and clinical analysis of 138 cases . Medicine 1954;;33:291-297.
2 +
Zizic TM, Shulman LE, Stevens MB:  Colonic perforations in systemic lupus erythematosus . Medicine 1975;;54:411-426.
3 +
Stoddard CJ, Kay PH, Simms JM, et al:  Acute abdominal complications of systemic lupus erythematosus . Br J Surg 1978;;65:625-628.
4 +
Patterson DC:  Appendices epiploicae . N Engl J Med 1933;;209:1255-1259.
5 +
Virchow R: Die krankhaften Geschwulste . Berlin, 1863;, pp 154-156.
6 +
Briggs WA:  Torsion of appendices epiploicae and its consequences . Am J Med Sci 1908;;135:864-870.
7 +
Harrigan AN:  Torsion and inflammation of the appendices epiploicae . Ann Surg 1917;;66:467-478.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Harvey AM, Shulman LE, Tumulty PA:  Systemic lupus erythematosus: Review of the literature and clinical analysis of 138 cases . Medicine 1954;;33:291-297.
2 +
Zizic TM, Shulman LE, Stevens MB:  Colonic perforations in systemic lupus erythematosus . Medicine 1975;;54:411-426.
3 +
Stoddard CJ, Kay PH, Simms JM, et al:  Acute abdominal complications of systemic lupus erythematosus . Br J Surg 1978;;65:625-628.
4 +
Patterson DC:  Appendices epiploicae . N Engl J Med 1933;;209:1255-1259.
5 +
Virchow R: Die krankhaften Geschwulste . Berlin, 1863;, pp 154-156.
6 +
Briggs WA:  Torsion of appendices epiploicae and its consequences . Am J Med Sci 1908;;135:864-870.
7 +
Harrigan AN:  Torsion and inflammation of the appendices epiploicae . Ann Surg 1917;;66:467-478.

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