Ascites associated with uterine leiomyoma in a 22-year-old woman with systemic lupus erythematosus

Ascites in systemic lupus erythematosus (SLE) patients has a variety of etiologies, which usually require different treatment options. Our case was a 22-year-old patient with an unusual combination of ascites, uterine leiomyoma and SLE. The patient presented with painless ascites of an inflammatory...

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Bibliographic Details
Published in:Lupus 2014-10, Vol.23 (11), p.1207-1210
Main Authors: Seo, MR, Sung, JY, Cho, HJ, Ryu, HJ, Choi, H-J, Park, C-Y, Baek, HJ
Format: Article
Language:English
Subjects:
Abdomen
Ascites
Ascites - etiology
Blood
Case reports
Female
Fibroids
Heart failure
Humans
Hypertension
Kidney diseases
Laparotomy
Leiomyoma - complications
Leiomyoma - pathology
Leiomyoma - surgery
Liver cirrhosis
Lupus
Lupus Erythematosus, Systemic - physiopathology
Ovarian cancer
Patients
Peritonitis
Proteins
Rheumatology
Tomography
Tuberculosis
Tumors
Uterine Neoplasms - complications
Uterine Neoplasms - pathology
Uterine Neoplasms - surgery
Uterus
Young Adult
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Summary:Ascites in systemic lupus erythematosus (SLE) patients has a variety of etiologies, which usually require different treatment options. Our case was a 22-year-old patient with an unusual combination of ascites, uterine leiomyoma and SLE. The patient presented with painless ascites of an inflammatory nature. However, the ascites was not related to peritonitis and SLE disease activity. The ascites disappeared following laparotomy and tumor resection without additional medication. Gynecologic benign tumors including uterine leiomyoma can be the cause of ascites in SLE patients. Clinicians should be aware of that possibility in case painless ascites occurs in females with SLE.
ISSN:0961-2033
1477-0962
DOI:10.1177/0961203314540763