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Lupus
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Chronic intestinal pseudo-obstruction associated with biliary tract dilatation in a patient with systemic lupus erythematosus

J Pardos-Gea

Hospital Vall d’Hebrón, Research Unit in Systemic Autoimmune Diseases, Universitat Autonoma de Barcelona, Barcelona, Spain

J Ordi-Ros

Hospital Vall d’Hebrón, Research Unit in Systemic Autoimmune Diseases, Universitat Autonoma de Barcelona, Barcelona, Spain, ordiros{at}vhebron.es

A Selva

Hospital Vall d’Hebrón, Research Unit in Systemic Autoimmune Diseases, Universitat Autonoma de Barcelona, Barcelona, Spain

J Perez-Lopez

Hospital Vall d’Hebrón, Research Unit in Systemic Autoimmune Diseases, Universitat Autonoma de Barcelona, Barcelona, Spain

E Balada

Hospital Vall d’Hebrón, Research Unit in Systemic Autoimmune Diseases, Universitat Autonoma de Barcelona, Barcelona, Spain

M Vilardell

Hospital Vall d’Hebrón, Research Unit in Systemic Autoimmune Diseases, Universitat Autonoma de Barcelona, Barcelona, Spain

We present the case of a 57-year old female patient diagnosed with systemic lupus erythematosus (SLE) along with glomerulonephritis and chronic intestinal pseudo-obstruction (CIPO). Dilatation of bile and pancreatic ducts not associated with malignant or litiasic obstruction is reported. The combination of bile duct associated with CIPO in a patient with lupus has not been previously reported in the literature and it probably suggests a smooth muscle dysmotility.

Key Words: biliary tract dilatation • chronic intestinal pseudo-obstruction • paralytic ileus • smooth muscle dysmotility • systemic lupus erythematosus • ureterohydronephrosis

Lupus, Vol. 14, No. 4, 328-330 (2005)
DOI: 10.1191/0961203304lu2047cr
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