The Japanese Journal of Urology
Online ISSN : 1884-7110
Print ISSN : 0021-5287
ISSN-L : 0021-5287
SYSTEMIC LUPUS ERYTHEMATOSUS PRESENTING AS A BRAINSTEM INFARCTION AND HEMORRHAGE DURING TREATING RETROPERITONEAL ABSCESS
A CASE REPORT
Hiroshi UshidaShuichi KoizumiKenjiro KatohYusaku Okada
Author information
JOURNALS FREE ACCESS

2001 Volume 92 Issue 5 Pages 579-582

Details
Abstract

We report a case of a brainstem infarction and hemorrhage seen in a 21-year-old female with systemic lupus erythematosus (SLE) during treating retroperitoneal abscess. SLE has been treated with prednisolone and mizoribine for 4 years. The patient with right back and lower abdominal pain visited our hospital. Computed tomography (CT) revealed retroperitoneal abscess over surrounding right kidney, horizontal part of duodenum and in front of psoas muscle. Drainage was done with indwelled right single J catheter and penrose drain. Retroperitoneal abscess was much smaller, but, post drainage day 17, high fever, unconsciousness, down-blood pressure and down-beat nystagmus appeared suddenly. Brain CT scan revealed a brainstem wide infarction and hemorrhage spot. Pulse therapy with stroid was done, however unfortunately the patient was dead after 6 days.

Information related to the author
© Japanese Urological Association
Previous article Next article
feedback
Top