Question: A 62-year-old man with a history of umbilical hernia repair presented with a 1-day history of abdominal pain, nausea, and vomiting. He endorsed constipation but no obstipation. He denied any melena or hematochezia. Owing to a history of alternating diarrhea and constipation associated with abdominal pain, he carried a clinical diagnosis of mixed-type irritable bowel syndrome. He also had 2 prior episodes of small bowel obstructions (SBO) that were attributed to adhesions and managed conservatively.