Abstract A 74-year-old woman presents with a 7-day history of increasing lower abdominal pains and reduced bowel movements; resulting in absolute constipation.Twenty-four hours prior to admission she also had symptoms nauseous significant distention. Her past medical included; diverticulitis, type 2 diabetes, hypercholesterolemia, an ultrasound scan 2005 confirming gallstones, but no previous s...