Author(s): Elham Neisani Samani
A 41-year-old woman, who spoke little English and was severely in pain, presented with bloody stool accompanied by abdominal pain and cramps. The patient reported having 2 episodes of large volume, red- to maroon-colored stool over the last 2 days. Though she was feeling nauseated, there were no complaints of vomiting, chest pain, or dyspnea. She reported neither having any chronic health issues nor having undergone any surgical procedure. The patient had never experienced similar symptoms before. At the emergency room, she had been subjected to an abdominal x-ray, ultrasound, and abdominal computed tomography (CT) scan. She had seen the gynecologist, gastroenterologist, and psychiatrist. Through the translator, it became known that her husband had left her a year ago because she was unable to conceive.