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A 58-year-old man with no past medical or surgical history presented to our institute with persistent abdominal pain lasted for 12 hours. After hospitalization the patient presented with coma, persistent hypotension (unable to detect) and anuria. On physical examination, the pulse was weak and his abdomen was tremendous distension without bowel sounds. Laboratory examination of blood revealed that an arterial blood pH of 6.9, a lactate level of 24 mmol per liter, and a serum procalcitonin level of 35.62 nanogram per milliliter.