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Our patient, a 55-year-old man, was a heavy drinker: 30 g every day for more than 10 years. Epigastralgia with transmission to the back developed 1 month before admission. The pain was dull, combined with diaphoresis, aggravated by alcohol intake, and released by lying posture. Because of the progressive discomfort, he visited a local hospital where acute pancreatitis was diagnosed by elevated serum amylase (157 U/l) and lipase (397 U/l). In addition, a pancreatic tumour was also found …
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; not externally peer reviewed.