A diabetic male with Pain Abdomen
A male aged 45 years k/c/o T2DM Chief Complaints Pain Abdomen (Epigatric) Vomiting (on/off) (x 3 days) Physical Examination Tenderness (+) Epigastrium Bowel sounds (-) Investigations CECT W/A
Swelling and effusion around head 9f pancreas with decreased or absent bowel movements suggest acute pancreatitis with ileus and r/o peptic ulcer perforation
History Volvulus
Ac pancreatitis
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58/M chronic smoker and alcoholism present with severe excruciating pain in epigastrium extending both hypochondria since 2-3 days. No fever, SoB, Vomiting, gi bleed, altered bowel or bladder. Tolerating orally. CBP, ECG, amylase lipase.....WNL. This is Abdomen x-ray erect position. possibilities?
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