Report and Review of the Literature A CASE TO REMEMBER

T he patient is a 48-year-old male with no signifi-cant past medical or surgical history who pre-sented with a day history of intense abdominal pain, associated with nausea and vomiting. Pain was described as “band-like ” across the mid-abdomen, exacerbated by oral intake. He denied fever, chills, change in bowel habit, dysphagia, odynophagia, weight loss or recent travel except for a cruise trip one-month prior, when he experienced an episode of diar-rhea. The patient had been complaining of intermittent abdominal pain for the last six months. Previous inves-tigation including colonoscopy and CT scan was neg-ative. Pain was usually relieved by limiting to a clear liquid diet and he denied tobacco or alcohol use. His grandmother died of colon cancer in her 70’s. On presentation his vital signs were stable and the patient was afebrile. He was a well built and well nourished male with moderate distress secondary to abdominal pain. His physical examination was rele