A 23-year-old woman presented to the OPD with the chief complaint of severe constipation. She feels bloated, has gained weight, and has crampy abdominal pain. She has tried laxatives with no relief. She asks for another medication to help with her symptoms. Her bowel frequency is once per week of hard, pellet-like stool. Her previous bowel habit was once every three days. There was no blood or mucus, straining, or urge to defecate.
She describes a nagging discomfort in her left lower abdomen, which is not relieved by defecation. Over the last few months, she developed nausea and a bloated sensation, especially after eating. There have been a few episodes of vomiting. She has a poor appetite but claims to have gained 10 kg weight in the last four months. Her abdominal radiograph is attached for your reference. What does the radiograph reveal? *This Case Challenge is from the Editorial…
