Superior mesenteric artery (SMA) syndrome is an uncommon cause of proximal intestinal obstruction, frequently occurring in patients who have had an important weight loss. The diagnosis can be difficult and usually is made by exclusion. The most characteristic symptoms are postprandial epigastric pain, fullness, voluminous vomiting and eructation. These symptoms are due to the compression of the...

BACKGROUND Acute pancreatitis is an inflammatory condition of the pancreas characterized clinically by epigastric abdominal pain and elevated levels of pancreatic enzymes in the blood. Drug-induced pancreatitis has recently gained more attention and as a result, physicians are screening more frequently for medications as a cause of acute pancreatitis. CASE REPORT We report the case of a 74-year...

Subcapsular hematoma of the liver represents an unusual clinical phenomenon in the pregnancy and postpartum period with serious complications in terms of fetal and maternal mortality. Here we report a case of a 32-year-old primiparous female at 36 weeks of gestation, admitted to a maternity ward of a private clinic for preeclampsia. The woman underwent an emergency caesarean section with the ex...

The stomach is a relatively uncommon site of volvulus and mesenteroaxial is even rarer of the two types of gastric volvulus. Gastric volvulus occurs frequently in infants and older age group and is quite rare in adolescents. A 12-year-old male child presented to the casualty with acute abdominal pain in the epigastric region and was managed as acute pancreatitis. However, radiological evaluatio...

We report a case in which a patient with intractable pain secondary to post-endoscopic retrograde cholangiopancreatography (ERCP) acute pancreatitis is successfully treated with a subanesthetic ketamine infusion. Shortly after ERCP, the patient reported severe stabbing epigastric pain. She exhibited voluntary guarding and tenderness without distension. Amylase and lipase levels were elevated. P...

CLINICAL HISTORY. The patient (R. G. S.) was a man of 55. There was no relevant history of previous illness except a transient attack of pyrexia, vomiting, and diarrhoea in May, 1943. The patient's final illness, which lasted sixteen days, began on 23/7/43 with vague upper abdominal pain. Pulse and temperature were normal, and there were no abnormal physical signs. Two days later the pain becam...

CONTEXT Pancreatic pseudocyst of gastrohepatic or hepatoduodenal ligament and of liver is rare entity. Probably, pancreatic pseudocyst ascends via these ligaments to liver due to complex attachment of peritoneum. Very few cases have been reported in literature. CASE REPORT Hereby, we report a case of pancreatic pseudocyst of hepatoduodenal ligament in patient who presented with pain and lump ...

A 14-year-old boy was admitted to the hospital with the complaints of epigastric pain and vomiting for three days following epigastric trauma. Physical examination revealed a palpable mass in the epigastrium without any signs of peritoneal irritation. Vital signs, biochemical analysis, chest and abdominal x-rays were normal. Abdominal US, CT and upper gastrointestinal endoscopy showed that ther...