Snapshot A 50-year-old woman presents to the emergency room for nausea, vomiting, loss of appetite, and abdominal pain. She has a history of Crohn disease, on infliximab, but she reports that this did not feel like a flare of her disease. On physical exam, there is tenderness to palpation of her abdomen without any peritoneal signs. An abdominal radiograph shows dilated loops of small bowel. She is started on intravenous fluids, given anti-emetics, and put on bowel rest. Introduction Overview login to view 1 more bullet Epidemiology login to view 9 more bullets Prognosis login to view 2 more bullets Presentation History login to view 3 more bullets Symptoms login to view 3 more bullets Physical exam login to view 4 more bullets Imaging Abdominal radiographs login to view 5 more bullets Computed tomography (CT) of abdomen and pelvis login to view 6 more bullets Studies Serum labs login to view 1 more bullet Invasive studies login to view 4 more bullets Differential Appendicitis login to view 2 more bullets Treatment Conservative and lifestyle login to view 3 more bullets Medical and pharmacologic login to view 5 more bullets Surgical and interventional login to view 7 more bullets Complications Bowel necrosis Peritonitis Bowel perforation