SJ?REN'S syndrome (SS) is a chronic inflammatory autoimmune disease characterized by the infiltration of lymphocytes and plasma cells in exocrine glands

especially salivary and lacrimal gland interstitium. The clinical manifestations of SS are complex. When the digestive system is involved

the patient always presents with liver damage

atrophic gastritis

and chronic diarrhea. Intestinal obstruction is rare and the specific pathogenesis remains unclear.1 Currently

there is no clear treatment guidelines for SS with intestinal obstruction. The general measures include gastrointestinal decompression

spasmolysis

and other symptomatic treatments and the use of glucocorticoid to control the progressing of disease. Here we describe a case of primary SS with intestinal obstruction who was treated with conservative treatment.