Case 38101

Abstract

Presentation of CaseA forty-nine-year-old woman entered the hospital because of loose bowel movements.The patient had a twenty-year history of mild epigastric pain, with some nausea and vomiting, and intolerance to fried food. One year prior to admission, because of increasing severity of the symptoms, a cholecystectomy was done, with relief of the symptoms for a short time. Seven months prior to admission the patient noted a change in character of the epigastric pain, which became sharper. The pain occurred in episodes, once or twice a day, lasted ten to fifteen minutes and on some occasions radiated to below . . .