Case representation A 40-year-old woman presents to the health care center with a few hours of sharp pain in the abdomen radiating to the back. She denied any history of pancreatitis, alcohol consumption, or illegal drug abuse. Medical history The patient had a history of hypertension and bipolar disorder. She had a cholecystectomy in 2004. Her physical examination revealed a heart rate of 105 beats/min and a blood pressure of 132/84 mmHg.
Due to severe epigastric tenderness and pain, she was in distress. Laboratory work-up The following were the laboratory test results. Laboratory parameters Patient values WBC 22.1 x 10 3 /µl Neutrophils 87% Hemoglobin level 14.0 g/dl Platelets 380 x 103/µl Potassium level 2.7 mEq/l Serum amylase 31 IU/L Lipase 14 IU/L Other metabolic parameters were normal, and pregnancy test was also negative. Having no specific positive results and no clear…
