Ovarian vasculitis in an adult with fatal systemic lupus erythematosus

Vasculitis of the ovary is a rare condition that can occur as an isolated finding or in association with systemic vasculitis. We describe a case of a 36-year-old female with vasculitis involving the left ovary on a background of severe active systemic lupus erythematosus (SLE). Despite a florid histopathological picture of ovarian vasculitis, the clinical and imaging findings were nonspecific. We have compared the current case to the literature on ovarian vasculitis, including relating to SLE. Ovarian vasculitis in SLE may be an underestimated entity as it may not be looked for routinely in the context of vasculitic involvement of other organs.