A 42-year-old man presented to the emergency department with complaints of severe, non-radiating, sharp periumbilical abdominal pain (10/10 on the pain scale) that started while eating street food. The patient also suffered from associated symptoms like nausea and multiple episodes of non-bloody, bilious vomiting. Medical history The patient has a chronic history of hypertension.
Physical examination Physical examination revealed that he was afebrile (98.3° F) and hemodynamically stable. Pulse rate: 92 beats per minute Respiratory rate: 17 breaths per minute Blood pressure: 148/107 mm Hg Oxygen saturation: 95% on room air The abdomen was found to be soft, with periumbilical tenderness and audible bowel sounds. Laboratory findings: Leucocytosis with neutrophilia and lactate of 1.9 mM/L Contrast-enhanced computed tomography (CT) A CT scan revealed mucosal thickening and a bulge in the…
