Abdominal pain, fever and vomiting in a patient with lupus

Body Region: Abdomen and Pelvis
Author: Michele Anzidei

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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