Case presentation A 39-year-old woman presented to the emergency ward of a hospital with complaints of bilious vomiting and periumbilical abdominal pain. She had these symptoms for the last six to eight months at irregular intervals. Her abdominal pain worsened after food intake.
Her menstrual cycles are regular, and she has one child born through normal delivery. Her previous examination at another hospital showed normal results. Initial examination Pain-related distress Stable hemodynamics Moderately swollen abdomen Tenderness in the right lumbar area and right iliac fossa First contrast computed tomography (Cover image 1) Thickening of wall and stricture at the terminal ileum Small bowel feces sign positive Proximal dilatation in ileum Colonoscopy Edematous ileocecal valve with hypertrophied Peyer’s patches Terminal ileum partially intussuscepted into the cecum Narrowing distal-most…
