Complicated systemic lupus erythematosus pancreatitis: pseudocyst, pseudoaneurysm, but real bleeding

Ewout Hoorn, HJ Flink, Ernst Kuipers, Jan-werner Poley, PBF Mensink, Radboud Dolhain

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We report the case of a 25-year-old patient with systemic lupus erythematosus (SLE) pancreatitis which was complicated by pseudocyst and pseudoaneurysm formation. The pseudoaneurysm progressed to intra-abdominal bleeding requiring endovascular coil embolization of the gastroduodenal artery. The pseudocyst and hematoma formed two large abdominal fluid collections causing symptoms due to a mass effect. These fluid collections were treated conservatively, while active SLE was treated with steroids, azathioprine, and immunoglobulins. She finally made a full recovery. To the best of our knowledge, this is the first report of a bleeding pseudoaneurysm complicating SLE pancreatitis. Although anecdotal, this case may serve as a useful example of the possible complications of SLE pancreatitis, including considerations on optimal management. Lupus (2011) 20, 305-307.
Original languageUndefined/Unknown
Pages (from-to)305-307
Number of pages3
Issue number3
Publication statusPublished - 2011

Research programs

  • EMC COEUR-09
  • EMC MM-04-20-01
  • EMC MM-04-39-05

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