A 51-year-old woman presented to the hospital for severe upper abdominal pain, described as crampy, accompanied by waxing-waning nausea that woke her from sleep. Two weeks earlier, a different institution evaluated her for melena, for which she underwent an unrevealing upper endoscopy and a colonoscopy revealing an adenoma in the ascending colon. The patient was afebrile and hemodynamically stable. Abdomen examination showed mild epigastric tenderness without peritoneal signs. Laboratory tests revealed a white cell count of 12,600/mm and a normal liver.
展开▼
