20 May 2026
: Case report 
Lupus Enteritis With Concomitant Genitourinary Involvement as the Initial Presentation of Juvenile-Onset Systemic Lupus Erythematosus
Unusual clinical course, Challenging differential diagnosis, Unusual setting of medical care
Hanan Hassan AlMalki
ACDEF 1,2*, Muhammed Alhussain Alkhairi BEF 1, Fahad Saeed Alahmari BCE 1, Lujiun Abdalmoneim Almahboub AF 1
DOI: 10.12659/AJCR.952340
Am J Case Rep 2026; 27:e952340
Figure 1 Contrast-enhanced abdominal computed tomography (CT) scan. (A, B) Axial images and (C) coronal image show marked small-bowel wall thickening with a stratified “target sign” (red arrows). Prominent mesenteric vascular engorgement, consistent with the “comb sign,” is visible (red arrowhead). A large volume of abdominopelvic ascites is also present (asterisk), supporting active serositis.