Question: A 46-year-old woman with a background of primary hyperparathyroidism was referred by her endocrinologist for colonoscopy for a 5-month history of diarrhea and right-sided abdominal pain. She reported sudden onset of abdominal pain with watery stools since a holiday in Lanzarote, Spain. Her past medical history consisted of a vaginal hysterectomy 2 years ago followed by tension-free vaginal tape procedure for stress incontinence. Pertinent results are as follows: hemoglobin, 126 g/L; C-reactive protein, 1; and albumin, 37.