Medicine · 6 authors, 3 centres
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This case report describes a 26-year-old woman with systemic lupus erythematosus and intestinal tuberculosis who experienced severe lower gastrointestinal bleeding. The report details the successful management of her bleeding and nutritional support using parenteral nutrition.
This is a case report of a 26-year-old female patient presenting with abdominal pain and active lower gastrointestinal bleeding, diagnosed with concurrent systemic lupus erythematosus and intestinal tuberculosis. Over a two-week period, she experienced persistent bleeding with daily volumes ranging from 300 mL to 800 mL. Due to rapid symptom progression, her oral intake was completely restricted and parenteral nutrition was implemented. The medical team effectively controlled the bleeding, leading to a notable improvement in her condition, allowing her to resume oral intake and be discharged. The report highlights the clinical significance of using parenteral nutrition for nutritional support in this complex scenario. Limitations include that this is a single-patient case report, and the authors note deficiencies in clinical nutrition therapy, such as the need for standardized blood glucose management during total parenteral nutrition therapy.
