Background　In clinical diagnosis， chronic pain patients without obvious lesions in the abdominal organs can not be alleviated after repeated treatment. Such patients may get the spinal endogenous abdominal pain which is easy to be ignored.　Objective　This article reviews the advances in the research and treatment of spinal endogenous abdominal pain， providing references to clinical diagnosis.　Content　This review explores the etiology and mechanisms of spinal endogenous abdominal pain as well as the treatment.　Trend　The research of the different mechanisms advances the knowledge of spinal endogenous abdominal pain， providing a more accurate method for the treatment of patients with chronic abdominal pain.