47-year-old farmer presents with severe abdominal pain and rectal bleeding. He cannot pass stool or flatus.
The Case Challenge series includes difficult-to-diagnose conditions, some of which are not frequently encountered by most clinicians but are nonetheless important to accurately recognize. Test your diagnostic and treatment skills using the following patient scenario and corresponding questions.
If you have a case that you would like to suggest for a future Case Challenge, pleaseA 47-year-old man presents to the emergency department with a 1-day history of severe abdominal pain. He cannot pass stool or flatus. For the past 2 weeks, he has had a fever , which is accompanied by rigors and chills and is reduced by antipyretics. The fever is also associated with fatigue, headache, and body aches.
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