Abstract
A 65-year–old woman presented to the emergency department with intolerable periumbilical cramping pain that lasted for hours, nausea, and cold sweats. Her pain episodes, which previously resolved with intravenous analgesia, began after her elective cholecystectomy 2 years prior. On physical examination, she was conscious, afebrile, and slightly tachycardic at 102 beats/min. Her blood pressure was 133/83 mm Hg. Abdominal palpation revealed tenderness over the periumbilical region. Results of laboratory tests were normal, including WBC count, liver function, and C-reactive protein level.
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