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Abdominal pain, fever and vomiting in a patient with lupus

    Author: Michele Anzidei
    Body Region: Abdomen and Pelvis

    1. Patient presentation
    2. CT Images
    3.1 CT Findings
    3.2 CT Findings
    4. Diagnosis
    5. References

    1. Patient presentation

    • A 44-year-old man presented to the emergency department with diffuse abdominal pain, fever and vomiting.
    • His medical history included systemic lupus erythematosus, diagnosed when he was 30 years old.
    • Abdominal ultrasonography demonstrated diffuse endoperitoneal fluid and patchy hypoechoic areas within the liver and spleen. Laboratory tests demonstrated decreased prothrombin time and mild anemia.
    • Contrast-enhanced CT of the abdomen and pelvis was performed to investigate further.
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