Case presentation A 22-year-old female is presented to the surgery department of a hospital after being referred from a private clinic with a two-month history of severe abdominal cramps, persistent bloody and mucoid diarrhea, weight loss, and tiredness. Two months ago Symptoms began with abdominal cramps and an intense urge to pass stools after every meal. Her symptoms rapidly worsened, with the passage of stool becoming more frequent. Within two days, she passed watery diarrhea mixed with fresh blood and mucous. She was seen by her general practitioner, who treated her for gastritis.

One week later, she collapsed at home and was admitted to the hospital for investigations. Unfortunately, she was discharged two days later without a diagnosis. One month ago Symptoms persisted, and she experienced diarrhea and vomiting after eating or drinking, which lasted for ten days. She was admitted…