Photoclinic Figure 1. Abdominal CT scan showing ascites (asterisk) and target sign (arrow) Figure 2. Abdominal CT scan showing comb sign (arrow)

Abstract: A 17-year-old woman with 2 weeks history of generalized crampy abdominal pain, progressive nausea/vomiting, and loose stools was admitted to the emergency department. She was a known case of systemic lupus erythematosus (SLE) with a history of associated mucocutaneous symptoms (Malar rash), nephritis (proteinuria 600 mg/24 h which wasn’t biopsied), arthritis and positive serology (positive ANA and Anti ds –DNA, with titer 2