Review Question - QID 214463

A 57-year-old woman presents to her primary care provider with complaints of lethargy and fatigue. The patient also has a history of Crohn disease status post bowel resection currently well-controlled on medical management. She states that her symptoms have been present for several weeks, and she cannot think of any inciting factor. She denies any fevers, changes to her bowel movements, or any bloody stool. She underwent menopause at the age of 52. On exam, the patient’s temperature is 98.3°F (36.8°C), blood pressure is 108/68 mmHg, pulse is 82/min, and respirations are 14/min. Her abdomen is soft, nontender, and nondistended. Her hemoglobin is found to be 9.5 g/dL. She is found to have increased homocysteine and increased methylmalonic acid on her lab testing. Fecal occult blood testing is negative. Which of the following segments of bowel was likely resected?