Body Region: Abdomen and Pelvis
Author: Michele Anzidei
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.