Visceral muscle dysmotility syndrome (VMDS) is a rare syndrome. described in the systemic lupus erythematosus (SLE) clinical course. It is characterized by diffuse thickened intestinal wall and gastrointestinal-genitourinary-hepatobiliary hollow viscera dilatation and dysmotility. Due to the rarity and the heterogeneity of the clinical characteristics of this syndrome. https://macorners.shop/product-category/puzzle-necklace/