This case involves a seven-year-old female who presented to the ER with abdominal pain. She had a medical history significant for developmental delay and, several months prior, required the placement of an intravenous total parenteral nutrition feeding tube (TPN). The patient was admitted for observation and x-rays were ordered, but the interpretation of imaging was abdominal pain due to constipation and the patient was discharged. The following day, the patient returned to the hospital with increasing pain and imaging studies revealed a dilated intestine with possible perforation. The patient was brought into surgery and a volvulus was discovered to be the cause of the pain. According to the medical records, the patient experienced a prolonged lack of blood supply to the abdominal viscera and subsequently sustained a significant amount of bowel necrosis. The patient could not be weaned off of the ventilator postoperatively and the family decided to withdraw life support.