A 30-year-old male patient was admitted to our hospital with the history of epigastric pain radiating to the back, which was of 4 days’ duration. The pain was associated with recurrent vomiting on the first day. The patient had been a chronic abuser of alcohol for the previous 4 years. He did not have jaundice, abdominal distension, or constipation.
There was no history of previous abdominal pain or diabetes mellitus. On examination : The patient was stable hemodynamically; he had epigastric tenderness and no organomegaly or free fluid in the abdominal cavity.The clinical exam was normal otherwise. The investigation revealed a hemoglobin of 11 gm/dL total leukocyte count of 17,300/mm and serum amylase of 400 IU/mL (up to 100 IU/mL), and results of serum biochemistry and chest radiograph were normal. A contrast-enhanced CT (CECT) revealed an edematous pancreas with multiple areas of…
