15 March 2026
: Case report 
Delayed Recognition of Systemic Lupus Erythematosus Presenting With Visceral Muscle Dysmotility and Chronic Mucus-Bloody Enteropathy: A Case Report
Unusual clinical course, Challenging differential diagnosis
Settanan Plangsiri
ABCDEF 1, Manisara Jirapornsuwan BEF 1, Pat Ngamdachakij ACDEF 1, Dhanesh Pitidhammabhorn CD 2, Wannisa Wongpipathpong ADEFG 2*
DOI: 10.12659/AJCR.950774
Am J Case Rep 2026; 27:e950774
Figure 1 (A) Computed tomography of the entire abdomen in the coronal plane; (B) late arterial phase; and (C) venous phase demonstrate bilateral pleural effusions and gastric outlet obstruction due to focal wall thickening of the gastric pylorus and antrum. Wall thickening was also observed in the duodenum, ileum, ascending colon, sigmoid colon, and rectum, accompanied by multiple ascitic fluid collections. (D) Bilateral hydronephrosis is present. (E) Diffuse bladder wall edema and thickening are observed, possibly related to chronic cystitis or neurogenic bladder. (F) Computed tomography of the chest and mediastinum demonstrates bilateral pleural effusions and a pericardial effusion.