systemic lupus erythematosus presenting with a fatal intestinal

this case report demonstrates fatal gastrointestinal vasculitis as a rare presentation of systemic lupus erythematosus. a 34-year-old woman presented with abdominal pain and diarrhea. anti nuclear antibody was positive and high titre of anti-ds dna antibody was also reported. treatment with corticosteroid and supportive cares were started; however, her condition worsened. eventually, she was considered as a candidate for diagnostic laparoscopy. immediately after laparoscopy, she developed respiratory distress along with upper gastrointestinal bleeding. soon after, the patient died because of disseminated intravascular coagulation.