A 56-year-old man with Diarrhea and Epigastric Pain
A 56-year-old man presented to the emergency department with a 3-day history of diarrhea and dull epigastric pain. On physical examination, the patient appeared to be in great distress and was tachycardic, with otherwise normal vital signs. His abdomen was diffusely tender with rebound; bowel sounds were absent.