[Upper abdominal pain].
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.
Satz
N
N
Jenni
J
J
Schulthess
G
G
Jacot des Combes
A
A
Knoblauch
M
M
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*
Oberbauchschmerzen.