This case involves a 59-year-old male patient who presented to the emergency room with severe abdominal pain. A CT-abdomen was performed and the report showed a distal small bowel obstruction. The patient was treated with IV hydration, Zofran, and Dilaudid but no plans were made for surgical intervention. The patient’s medical status deteriorated severely over the course of one week and he went into cardiac arrest and sustained aspiration pneumonia as a result of CPR and intubation. The patient died less than 7 days after his initial admission with autopsy reports stating the cause of death to be sepsis secondary to significant ischemic bowel disease.