Recurrent Abdominal Pain in a 55-Year-Old Woman

Abstract

Question: A 55-year-old woman presented with 1-day history of acute diffuse abdominal pain and vomiting. In the past year, she had similar episodes. She also mentioned small-caliber stools and weight loss (10 kg) within the past year. Two days before admission, she had complained of no stool passage. She denied fever, diarrhea, and bloody stool. She had no significant medical history or previous operations. Physical examination revealed a distended abdomen, hypoactive bowel sounds, and diffuse tympanic sound on percusion. Laboratory data revealed unremarkable except mild leukocytosis. Abdominal plain film showed linear calcifications along the ight side of the abdomen (Figure A). Abdominal computed tomography revealed wall thickening and diffuse, thread-like