Th patient first presented with pain in the abdomen. An ultrasound done at that time revealed only mild wall thickening. The patient was managed conservatively. He then presented with a repeated episode of acute abdomen after 25 days. However, besides pain and a positive Murphy sign, no abdominal guarding or any signs of sepsis were present. No fever. Lab work revealed only mildly raised CRP with normal TLC. The images below are corresponding to this later presentation.

Patient Data

Age: 50
Gender: Male