Two patients with haemoperitoneum due to spontaneous haemorrhage near the tail of the pancreas are described. One patient presented acutely with epigastric pain and was found to be bleeding from the main trunk of the splenic artery. The other presented with a prolonged history of epigastric pain culminating in a haematemesis and was found to have a partially organized haematoma in the tail of t...

a 48-year-old male patient presented to the emergency department with the complaints of epigastric pain and melena for the past 3 days. the pain was started suddenly and has progressed and after a while, he passed melena stool. he also mentioned some episodes of vomiting that was not bloody. the pain score was about 8/10 (based on verbal quantitative scale) and slightly radiated to back. he loo...

Cystic lymphangioma of the pancreas is extremely rare, accounting for less than 1% of pancreatic tumors. Though congenital, it can affect all age groups. Cystic lympangioma occurs more frequently in females. Patients usually present with epigastric pain and an associated palpable epigastric mass. Complete excision is curative, even though, depending on the tumor location, surgery may be simple ...

A young pre-menopausal non-drug-addict woman without risk factors for coronary artery disease suffered from a non-Q-wave acute myocardial infarction. She presented with epigastric pain and vomiting. Diagnosis of acute myocardial infarction was not suspected at first because of her young age and lack of risk factors. She was treated for gastritis but worsening of epigastric pain and its radiatio...

ingestion and inhalation of phosphine are 2 forms of toxicity and their clinical manifestation is extremely wide. a 22-year-old girl was admitted with complaints of nausea, vomiting and epigastric pain after eating lunch. she had a history of celiac disease. on arrival, she was alert and hemodynamically stable. there was not any abdominal tenderness or guarding. food poisoning treatment initiat...

Functional dyspepsia (FD) is a highly prevalent gastrointestinal disorder characterized by symptoms originating from the gastroduodenal region in the absence of underlying organic disease that readily explains the symptoms. The Rome II consensus, which defi ned FD as the presence of unexplained pain or discomfort in the epigastrium, had a number of drawbacks, including an unjustifi ed focus on ...