A 15-year-old boy presented to the emergency department with vomiting and epigastric pain appearing in the back. The onset of pain was gradual and lasting from 3 days. Earlier, he didn't face any of these pain episodes. The patient was sweaty and tensed. He says he was unable to lie flat for the examination and vomits persistently.
The abdomen was not distended and he had normal bowel sounds. Rectal examination was unremarkable. Examination Hemoglobin 11 g/dL Mean Cell Volume 101fL WBC count 11 x 10 9 /L Platelets 309 x 10 9 /L Sodium 133 mmol/L Potassium 4.2 mmol/L Bilirubin 11 mmol/L Serum calcium 2.2 mmol/L What is the probable diagnosis? The answer is posted in the comment section ( Click here ) * The patient case is from Docplexus Editorial team for educative purpose only Source : 100 cases of surgery
