A 67-year-old female presented to the emergency department with epigastric and left-upper-quadrant abdominal pain. The patient reported history of multiple episodes of abdominal pain similar in nature over the last 2 years. Computed tomography (CT) and magnetic resonance imaging (MRI) of the abdomen demonstrated acute pancreatitis along with the presence of pancreatic tissue around the descendi...

The Clinical Problem Functional abdominal pain syndrome (FAPS) is a state of chronic recurrent abdominal pain that is not due to structural, organic, or metabolic diseases, as far as can be detected by current routine clinical examinations [7]. Abdominal pain in FAPS is unrelated to provocation, exaggeration, or relief by everyday physiological stimuli such as eating, exercise, defecation, or m...

Hepatic subcapsular hematoma is a rare but potentially life-threatening complication that caused by preeclampsia and hemolysis, elevated liver enzymes, low platelet (HELLP) syndrome, which may be manifest with nonspecific signs symptoms. The present case was 36-year-old woman secondary as of HELLP syndrome. patient complained nausea, vomiting, pain in the right upper quadrant abdomen, epigastri...

‘General languor and debility, feebleness of the heart’s action, irritability of the stomach, and a peculiar change of the colour of the skin’ – forms part of the original description of Addison’s disease, primary hypoadrenalism. The condition represents a diagnostic challenge for the clinician, a non-specific pattern of presentation notoriously difficult to identify, that follows a potentially...

A 57-year-old man presented to the emergency department because of epigastric pain for 2 days. His serum lipase, amy-lase, and calcium levels were markedly elevated, but the lipopro-tein profile was within normal limits. Diagnostic studies are shown below (Figures 1– 4). For diagnosis and discussion, see the following page. Figure 1. Computed tomography (CT) image shows the pancreas (arrowheads...

A 77-year-old multiparous Caucasian woman presented with a three-month history of intermittent generalized abdominal pain with associated vomiting and weight loss. The patient had no previous medical history and her past surgical history included a hysterectomy for fibroids 25 years previously. She was found to be hypertensive (blood pressure 202/78 mmHg) with a pulse rate of 94 bpm. On examina...

A case of traumatic pancreatitis with subsequent joint pain and osteolytic lesions is presented. A 10-year-old girl was admitted to our hospital with abdominal pain caused by blunt epigastric injury. She was diagnosed with traumatic pancreatitis, and multiple pancreatic pseudocysts subsequently developed. Two weeks after admission, she complained of joint pain, and MR revealed osteolytic lesion...

A 31 year old Chinese male presented with retrosternal chest pain of 1~ years duration. During the preceding one month he had epigastric pain which was relieved by antacids. He also complained of anorexia, weight loss and nocturia of one month's duration. Two days before admission, he developed dyspnoea on exertion, orthopnoea and paroxysmal nocturnal dyspnoea. He had no previous history of ren...

Introduction: Angiomyolipomas primarily arising from the liver are rare. Hepatic angiomyolipoma (HAML) is a rare tumor characterized by the presence of blood vessels, muscle tissue and adipose tissue with only about 300 reported cases to date. This is the first case reported in literature of a Filipino patient. Case Report: A 49-year-old Filipino female presented with a two-year history of recu...