系统性红斑狼疮（ＳＬＥ）伴有腹痛可占３１～３４％［１］，但以剧烈腹痛为主要症状者，临床上颇为少见，极易与外科急腹症混淆。本文就以急腹症而收治的１例ＳＬＥ报告如下。１病例资料 女，２９岁。因腹部持续性剧痛伴呕吐１０小时入院。既往有关节炎病史３年。查体：体温３ Systemic lupus erythematosus (SLE) with abdominal pain may account for 31 to 34% [1], but severe abdominal pain as the main symptoms, clinically rare, easily confused with surgical acute abdomen. This article on the treatment of acute abdomen and 1 case of SLE reported below. 1 case information Female, 29 years old. Due to persistent abdominal pain and vomiting 10 hours admitted. Past history of arthritis 3 years. Physical examination: body temperature 3