A 58-year-old man presented to the hospital with a 6-hour history of sharp, non-radiating abdominal pain that worsened upon movement. He never experienced such pain before and had no significant medical history.

The patient reported no fever, chills, nausea, vomiting, or diarrhea His vital signs were normal, but his abdomen was tender to palpation Laboratory examinations were normal Abdominal and pelvic computed tomography scans using intravenous and oral contrast were obtained The patient developed peritonitis and a surgical consultation was obtained *This patient case is from Docplexus Editorial team for educative purpose only. Source: MD Magazine: Surgical Quiz