Background:
Systemic lupus erythematosus (SLE) is a disease with a large spectrum of symptoms and is quite prevalent. The aim of this report report is to describe specific pathologic findings at the time of hysterectomy thought to be secondary to systemic lupus and to describe the management of those findings.
Case:
A 52-year-old African-American female with a history of lupus treated with hydroxychloroquine presented for hysterectomy. Intraoperative findings included edematous and pale uterus, large pedicles, and no discrete dissection planes. A modified radical hysterectomy was performed. The patient required intensive care unit admission and was later readmitted with an SLE flare, causing acute renal failure.
Conclusions:
As we know, infiltrative disease of the uterus from SLE has not been described. Acute flares, seen in our patient, have been described after surgery.
