Complicated Cases in GI

Anthony Kalloo, MD; Jonathan M. Buscaglia, MD

Chapter 35: An Unusual Cause Ofre Current Acute Pancreatitis (continued)

Kerry Dunbar, MD

A 22-year-old Korean-American man developed severe epigastric abdominal pain that radiated to his back after eating a sandwich. His pain was associated with nausea and vomiting and he presented to the emergency department for evaluation. His amylase and lipase were elevated and he was diagnosed with acute pancreatitis. Right upper quadrant ultrasound at that time was normal and showed no evidence of biliary duct dilation. A bland diet and pain medication were prescribed and his symptoms resolved over the next few days. Three weeks later, the epigastric abdominal pain and vomiting recurred and…