Lupus cystitis: A case report

Lupus cystitis is a subtype of systemic lupus erythematosus (SLE). It is diagnosed in approximately 1% of all SLE cases. Patients typically present with gastrointestinal and bladder symptoms, such as miction pain and pollakisuria, with other symptoms of SLE also accompanying them. We report a case of lupus cystitis, in a 33-year-old woman who presented with severe gastrointestinal symptoms which continued for about 6 months. CT scans revealed bilateral hydronephrosis and thickening of the bladder wall. Cystoscopy findings revealed contracted bladder with low capacity. At last, bilateral percutaneous nephrostomy was performed. After steroid therapy was commenced, the gastrointestinal symptoms disappeared, however improvement of the contracted bladder and bilateral hydronephrosis was incomplete due to delayed diagnosis and medication.