| Summary: | Introduction: Gastrointestinal (GI) symptoms and signs may be seen in
approximately one third ofpatients with rheumatologic disorders as primary presentation. Some
of these findings may benondiagnostic and may be clinical diagnostic challenge. GI tract
involvement by systemic lupuserythematosus (SLE) must be differentiated from adverse drug
reactions of treatment agents.Abdominal pain, associated with nausea and vomiting, is seen in
up to 30 percent of patients withSLE. The cause of abdominal pain does not differ
significantly from that in patients without lupus.Special attention should be given to
conditions that may accompany lupus such as lupus peritonitisand infection. Lupus peritonitis
is very unusual clinical finding and it is worth reporting.Case Report: Our patient was a
young female with definite rheumatologic disorders with acuteabdomen as the dominant clinical
finding. Imaging findings confirmed peritoneum and smallintestine involvement. Paraclinical
work-up including blood analysis confirmed SLE. She wasmanaged with prednisone and
non-steroidal anti-inflammatory agents, and discharged withpartial improvement.Conclusion:
This case report shows that patients with symptoms consistent with acute abdomen inSLE remind
us a clinical dilemma. There have been few reports of acute abdomen in patients withSLE in the
literature. And more case reports are needed.
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