Case Presentation: A 56-year-old female with a history of scleroderma, Sjogren’s syndrome, GERD, cirrhosis, HTN presented with abdominal pain for 3 days. She reported nausea without emesis, decreased oral intake, and no bowel movements or passing gas during this time. She denied fevers, night sweats, diarrhea, gastrointestinal bleeding, recent travel, swimming in lakes/rivers, ingesting unclean [...]