Clinical presentation

A 37-year-old male with small intestinal Crohn's disease requiring distant previous ileal resection and currently in clinical remission without medical therapy was admitted to the hospital with several weeks of migrating abdominal pains that were progressively localised to the right lower quadrant and now associated with vomiting. His abdomen was distended and tender to palpation without guarding or rebound. Laboratory analysis showed haemoglobin level of 16.7 g/dL, white blood cell count of 11 800/mL, creatine level …