A 61 -year-old, white woman presented to the emergency department with abdominal pain of several days duration. She complained of having loose bowel movements almost thrice daily for approximately 2 to 3 weeks. She reported decreased oral intake and diffuse joint pains. She denied any fever or chills as well as nausea or vomiting. Despite her loose bowel movements, she claimed recent weight gain over the past few months of approximately 10 lb. Her medical history was remarkable for Crohn disease and osteoporosis. She had previously twice undergone surgery for small bowel obstruction. Her surgical history also included cholecystectomy, appendectomy, and herniorrhaphy. She denied any history of smoking.