Abstract
A 28-year-old woman with a history of systemic lupus erythematosus and antiphospholipid antibody syndrome presented with acute, severe, left-sided abdominal pain, hematemesis, and hematochezia. On physical examination, there was significant left-sided abdominal tenderness with guarding. Laboratory test analysis revealed leukocytosis of 30,800/mm3 (normal 4000-10,8000/mm3), anemia with a hemoglobin of 9.6 g/dL (12-16 g/dL), elevated C-reactive protein level of 140 mg/dL (<3 mg/dL), and a normal serum lactate level of 1.1 mmol/L (<2 mmol/L).
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