VOLUME 2 - NUMBER 3 - 2020
Sjogren syndrome and abdominal adhesions.
Could they be related?
Angelos Daniilidis, Christos-Konstantinos Michalopoulos, George Pratilas, Anastasios Liberis, Uzeyir Kalkan, Konstantinos Dinas
Original article, 190-192
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Background: Sjögren syndrome is a chronic systemic inflammatory disorder (classified as an autoimmune disorder) characterized by lymphocytic infiltrates in exocrine organs. Complications related to Sjögren syndrome include SLE (systemic lupus erythematosus) and RA (rheymatoid arthritis) , infection of the parotid gland, typically staphylococcal, streptococcal, or pneumococcal, the appearance of parotid tumors, fetal loss during pregnancy in antiRo/SS-A-positive women and the occurrence of pseudolymphomas and non-Hodgkin B-cell lymphomas. Here we describe intraabdominal adhesions found in a patient with known Sjögren syndrome and no other known health problems.
Case report: We report the case of a 50-year-old menopausal woman with known Sjögren syndrome. She did not have any other medical issues. Most importantly, she did not report any prior abdominal surgery. The patient suffered from ovarian cysts and was scheduled to undergo elective laparoscopic ovary removal. Intraoperatively, the patient was found to have thick and extensive adhesions between the omentum and the abdominal peritoneum.
Conclusion: This case led us to wonder whether there might be a connection between Sjögren syndrome and the occurrence of adhesions. Further research is needed in cases with the same presentation. If we were able to clarify a common pathophysiology that connects the occurrence of intraabdominal adhesions with the syndrome, the disease itself might be better understood.
KEY WORDS: Sjögren syndrome; adhesions; laparoscopy; scleroderma; symphysiolysis; case report.