An 80-year-old female presented to an emergency department with acute onset of bilateral lower quadrant abdominal pain with associated nausea and nonbloody, nonbilious emesis. She denied any subjective fevers or chills at home, and she did not have complaints of shortness of breath, cough, or chest pain. She stated that the abdominal pain started suddenly without warning prior in the evening, and she had never experienced abdominal pain or discomfort similar to this in the past.
She denied any significant change in bowel or bladder habits. She further stated she had been having abnormal vaginal discharge that appeared to be purulent and foul-smelling approximately four days prior to emergency department evaluation. Physical examination The patient was afebrile with an oral temperature of 36.4 ºC, blood pressure of 145/71, mild tachycardia with a rate of 104, and respiration rate of 24…
