Case Presentation A 28-year-old male with a history of autism spectrum disorder presented to the hospital with acute-onset severe epigastric abdominal pain, accompanied by nausea and multiple episodes of green-colored vomiting. The symptoms were significant in intensity and prompted immediate medical evaluation.
History Recurrent episodes of abdominal pain in the past Intermittent diarrhea (1 month duration) Unintentional weight loss (~25 pounds) No history of: Alcohol use Smoking or illicit drug use Trauma Medication exposure Family history of pancreatitis Physical Examination Severe epigastric tenderness (implied from presentation) No specific mention of mass or organomegaly clinically Laboratory Findings Elevated lipase: 351 U/L (>3× normal) Normal calcium and triglycerides Elevated: Total IgG IgG1 Normal IgG4 levels Positive anti-smooth muscle antibody Negative: ANA…
