Evidence map›Paper›PMID 41809873›Full record

ArticleWorld journal of gastroenterology2026

Ischemic duodenal injury due to systemic lupus erythematosus: A case report.

Yung Kil Kim, Hae Il Jung, Hyeyoung Kim, Sang Ho Bae

Abstract readCase Reports
In one paragraph

Article in World journal of gastroenterology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Yung Kil KimDepartment of Surgery, Soonchunhyang University Cheonan Hospital, Cheonan 31151, South Korea.
Hae Il JungDepartment of Surgery, Soonchunhyang University Cheonan Hospital, Cheonan 31151, South Korea.
Hyeyoung KimDepartment of Surgery, Soonchunhyang University Cheonan Hospital, Cheonan 31151, South Korea.
Sang Ho BaeDepartment of Surgery, Soonchunhyang University Cheonan Hospital, Cheonan 31151, South Korea. bestoperator@schmc.ac.kr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSystemic lupus erythematosus (SLE) is a chronic autoimmune disease involving multiple organ systems. Lupus enteritis is a rare but potentially life-threatening gastrointestinal manifestation characterized by immune complex-mediated inflammation that may cause edema, ischemia, or intestinal perforation. Because abdominal symptoms often overlap with those of infection or drug toxicity, an accurate diagnosis requires a high index of suspicion supported by characteristic radiologic findings. CASE SUMMARY: A 47-year-old female with a known history of SLE and membranous glomerulonephritis presented with acute epigastric pain. Contrast-enhanced computed tomography revealed venous-type ischemia involving the second portion of the duodenum and proximal jejunum. Despite intensive medical management, progressive ischemic changes necessitated surgical resection and duodenojejunostomy. Postoperatively, the patient developed pancreatitis and biliary obstruction at the ampulla of Vater, requiring coordinated multidisciplinary care, including rheumatologic evaluation for disease flares, radiology-guided percutaneous transhepatic biliary drainage, internal stent placement, and pathological confirmation of small-vessel vasculitis. Both complications resolved after intervention. Duodenal involvement in lupus enteritis is exceptionally rare, and cases requiring surgical intervention are even rarer. Consequently, only a few cases have been reported.

conclusionPrompt recognition and multidisciplinary management are essential for favorable outcomes in patients with severe lupus enteritis and duodenal involvement.

Indexed as

DuodenumEnteritisIschemiaLupus Erythematosus, SystemicDuodenostomyFemaleHumansJejunostomyMiddle AgedPancreatitisTomography, X-Ray ComputedTreatment OutcomeBiliary complicationsCase reportDuodenal ischemiaDuodenojejunostomyLupus enteritisSystemic lupus erythematosus

Identifiers

PMID41809873
PMCPMC12968555

What Socratic holds

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LicenceCC BY-NC
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.