Case presentation A 74-year-old woman presented to the ED with complaints of lower abdominal pain, nausea, and vomiting for the last three days. The patient also reported that she could not pass the stool for the last week. She further added that she had a small-caliber stool for the previous six months. Physical examination Reduced bowel sounds Periumbilical tenderness Laboratory findings Normocytic anemia (hemoglobin level: 9.6 g/dL) Radiological findings An X-ray of the abdomen showed significant dilatation of bowel loops and the presence of the colon cut-off sign [Figure. 1] CT scan of the abdomen demonstrated segmental wall thickening of the descending colon [Figure 2] Colonoscopy findings Presence of circumferential ulcerative lesion in the descending colon.
What is the most likely diagnosis for this patient? A. Diaphragmatic hernia B. Acute pancreatitis C. Crohn’s disease…
