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Epigastric pain and elevated pancreatic enzymes
  1. M Khreiss1,
  2. K M Musallam1,
  3. A Soweid2,
  4. G Zaatari3,
  5. A S Yakan1,
  6. F R Jamali1
  1. 1
    Department of Surgery, American University of Beirut Medical Center, Beirut, Lebanon
  2. 2
    Department of Medicine, American University of Beirut Medical Center, Beirut, Lebanon
  3. 3
    Department of Pathology and Laboratory Medicine, American University of Beirut Medical Center, Beirut, Lebanon
  1. Correspondence to Dr F R Jamali, Department of Surgery, American University of Beirut Medical Center, Beirut, Lebanon; fj03{at}aub.edu.lb

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Clinical presentation

A 54-year-old man presented with epigastric abdominal pain radiating to the back of several days duration. The pain was continuous and not associated with nausea, vomiting or food intake. On examination he was noted to have slight tenderness over the epigastric region and no organomegaly. Laboratory investigations including liver function tests, complete blood count and urinalysis were normal except for an elevation in the serum amylase (165 IU/l) and lipase (241 IU/l) levels. Abdominal ultrasound was negative for any biliary pathology and …

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