This case takes place in New York and involves a 35-year-old female patient with a history of ruptured appendicitis who presented with vomiting, diarrhea, and abdominal pain. A CT with contrast showed dilated loops of the small bowel. Observation management was done without a nasogastric tube. A repeat CT scan showed worsening dilation of the small bowel and an exploratory laparoscopy was conducted. The patient was discharged 2 days later despite continued nausea and vomiting. However, the patient returned to the emergency room on the same day with persistent vomiting. A subsequent CT was again suggestive of a small bowel obstruction. The patient underwent a small bowel follow-through followed by exploratory lap. During the procedure, the surgeons had to resect virtually all of the small bowel. The patient subsequently suffered from significant damages related to short gut syndrome, including daily diarrhea, constipation, a requirement of 15,000 calories per day to maintain weight, decreased immunities, and significant weight loss. The patient also suffered periodic inability to work, as she was a sales professional who frequently traveled for business. An expert in general surgery was sought to review the matter and address any lapses in the standard of care which could have led to this outcome.