Pregnancy Complicated with Systemic Lupus Erythematosus Misdiagnosed as Intestinal Obstruction:Analysis of 2 Cases

Objective To investigate the clinical features of pregnancy complicated with systemic lupus erythematosus(SLE)with intestinal obstruction(IO)as first symptom.Methods A retrospective analysis was carried out on clinical data of 2 pregnant SLE women with IO as first symptom.Results Of 2 pregnant women with SLE,1 with 17-week pregnancy sought medical advice due to abdominal pain and distension,vomiting(for 1 week),no hepatic portal exhaust(for 4 d),1 with 16-week pregnancy due to abdominal pain and distension,vomiting,no hepatic portal exhaust(for 5 d).Both were misdiagnosed as mechanical intestinal obstruction and received surgical intervention,and pregnancy terminated because of intrauterine stillbirth after surgery.High-dose methylprednisolone therapy improved the symptoms.Conclusion Pregnancy with SLE with IO as first symptom is rare,prone to misdiagnoses and mistreatments.Unnecessary surgeries should be avoided to minimize the rate misdiagnoses.