The patient is a healthy 38-year-old who presents with progressive abdominal pain. There is no fever, vomiting, or diarrhea. There are no peritoneal signs. Pulse is 55, and blood pressure is 118/50.

The only remarkable finding when the history is taken is that the patient had corrective heart surgery as a child.
View the image taken and consider what your diagnosis would be.

38-year-old with progressive abdominal pain
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