Abstract
Presentation of Case An eighty-three-year-old woman entered the hospital because of abdominal pain. The patient had been in good health until six weeks previously, when dull, aching pain developed in both lower quadrants of the abdomen, accompanied by an increase in severity of lifelong constipation, with only the occasional passage of a small, watery stool. Dysuria and nocturia occurred, but there was no urinary frequency or urgency, weight loss, anorexia, fever, chills or rectal bleeding. Cholecystotomy had been performed in the remote past, and for several years she had taken tolbutamide because of diabetes mellitus. There was no vaginal bleeding . . .
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