Massive Ascites, Protein Losing Enteropathy and Pseudo-Obstruction as Rare Manifestations of Systemic Lupus Erythematosus in a known case of Immune Thrombocytopenic Purpura

Systemic lupus erythematosus (sle) is an autoimmune inflammatory disease with diverse clinical manifestations involving multiple organ systems. peritoneal involvement as a sign of gastrointestinal disease in sle is a rare condition. massive ascites as the initial manifestation of sle is an extremely rare situation. here, we report a 13-year-old female with bile-stained vomiting, ascites and signs of pseudo-obstructions with a past medical history of immune thrombocytopenic purpura (itp) who was later diagnosed to have sle.