An 82-year-old woman who had recently
arrived from Japan presented to the
emergency department with a 3-day
history of abdominal pain that began
immediately after she swallowed several
pills with a small amount of water.
The severe, intermittent pain radiated
to the patient’s back and worsened with
meals. The patient denied chills, nausea,
vomiting, coughing, diarrhea, and
constipation. She had well-controlled
type 2 diabetes mellitus and hypercholesterolemia,
and had undergone an
appendectomy 50 years earlier.