Young Male With Epigastric Pain

A strange epigastric pain

A 53-year-old woman with autosomal dominant polycystic kidney disease (ADPKD) and Stage 2 chronic kidney disease was hospitalized for early satiety, nausea, vomiting and epigastric pain. An abdominal computed tomography scan confirmed the presence of multiple bilateral renal cysts, and a markedly enlarged liver due to the presence of multiple enormous cysts (the biggest one 20 × 16 cm) occupyin...

Epigastric pain in duodenal ulcer.

Epigastric pain in a patient with neurofibromatosis type 1.

Patients with neurofibromatosis type 1 are at increased risk of developing carcinoid tumours of the duodenum, particularly in the ampulla of Vater. Aggressive surgery with pancreatoduodenectomy is recommended for all ampullary carcinoid tumours because of their propensity to metastasise. We report a case of a 43-year-old woman with neurofibromatosis type 1, who presented with recurrent epigastr...

Epigastric pain with elevated serum calcium, lipase, and amylase.

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...

Hepatic angiomyolipoma presenting with chronic epigastric pain: A case report

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...