title: [Upper abdominal pain].
abstract: We report a female patient in whom the false diagnosis of acute pancreatitis was made, based on intensive epigastric pain and a four fold increase of amylase. The normal values for lipase and decreased values for the urinary amylase were suggestive of a constellation of macroamylasemia. Further investigations revealed a fresh ulcer in the bulbus duodeni as cause of the epigastric pain. With a therapy of cimetidine and antacids painlessness could be achieved within few days.
authors.forename: N
authors.initials: N
authors.lastname: Satz
authors.forename: J
authors.initials: J
authors.lastname: Jenni
authors.forename: G
authors.initials: G
authors.lastname: Schulthess
authors.forename: A
authors.initials: A
authors.lastname: Jacot des Combes
authors.forename: M
authors.initials: M
authors.lastname: Knoblauch
mesh_terms: D000006:Abdomen, Acute / Q000175:diagnosis*; D000328:Adult; D003937:Diagnosis, Differential; D004381:Duodenal Ulcer / Q000175:diagnosis*; D005260:Female; D042882:Gallstones / Q000175:diagnosis; D006801:Humans; D010195:Pancreatitis / Q000175:diagnosis*
vernacular_title: Oberbauchschmerzen.