GI Emergencies: A Quick Reference Guide

Robert C. Lowe, MD; Francis A. Farraye, MD, MSc

Chapter 7: Acute Pancreatitis (continued)

Ivonne Ramirez, MD; David R. Lichtenstein, MD

You receive the following call from the emergency department: A 48-year-old woman presents complaining of severe, sharp epigastric abdominal pain radiating to the back, which started about 4 hours prior to her presentation and is associated with bilious emesis. She recalls 2 prior episodes of abdominal pain over the past year but these have been located more toward her right upper quadrant, have not been as severe, have been associated with some nausea, and, although constant, the pain subsided both times without intervention after 2 or 3 hours. Her past medical history includes hypertension…