case_images: PMC8035025_01
case_images: PMC8035025_02
case_images: CT of the abdomen and pelvis with contrast showing distended loops of small bowel with wall thickening, enhancement, decompressed loops of bowel distally, and fecalization of small bowel.
case_images: CRIM2021-5534945.001.jpg
case_images: PMC8035025_02_CRIM2021-5534945.001.jpg
case_images: fig1
case_images: Fecalization of the small bowel was also apparent (Figure 1).
case_images: Timeline of symptom onset through hospital discharge. Day 0 represents symptom onset. Each event on timeline has time of occurrence listed in military time. SBFT, small bowel follow-through; WNL, within normal limits; US, ultrasound; GI, gastrointestinal; CT, computed tomography; A/P, abdomen and pelvis; SBO, small bowel obstruction; NPO, nil per os; NGT, nasogastric tube; mIVF, maintenance intravenous fluids; LR, lactated ringers solution; CMP, comprehensive metabolic panel; CBC, complete blood count; beta-HCG, human chorionic gonadotropin; ED, emergency department; CLD, clear liquid diet; CRP, C-reactive protein; ESR, erythrocyte sedimentation rate.
case_images: CRIM2021-5534945.002.jpg
case_images: PMC8035025_02_CRIM2021-5534945.002.jpg
case_images: fig2
case_images: The timeline of events is illustrated in Figure 2.
case_images: PMC8035025_03
case_images: Upper gastrointestinal study with small bowel follow-through revealing no acute obstruction (radiographic images taken in series and are exhibited chronologically from 1-4.).
case_images: CRIM2021-5534945.003.jpg
case_images: PMC8035025_03_CRIM2021-5534945.003.jpg
case_images: fig3
case_images: The US was only significant for trace free fluid in the Pouch of Douglas, and the SBFT showed resolution of the SBO at 12 hours after admission (Figure 3).
case_images: Chronologic depiction of return to play (RTP) and outpatient follow-up with days calculated since the time of symptom onset defined as day 0. SBO, small bowel obstruction; GI, gastroenterology; MRE, magnetic resonance enterography.
case_images: CRIM2021-5534945.004.jpg
case_images: PMC8035025_03_CRIM2021-5534945.004.jpg
case_images: fig4
case_images: The patient was seen by GI seven days after presentation at which point magnetic resonance enterography (MRE) was ordered (Figure 4).