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Previous Volume 349:893-901 August 28, 2003 Number 9 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

A 36-year-old man was referred to the hospital because of recurrent epigastric pain and persistently elevated amylase levels.

The patient had been well until five months earlier, when he began to have epigastric pain. At that time, the amylase level was 349 U per liter (normal, 25 to 115). The white-cell count and the results of tests of liver function were normal. The bouts of epigastric pain continued, and the amylase level did not return to normal. Radiographs of the abdomen showed no evidence of bowel obstruction or perforation. An abdominal ultrasonographic study revealed no gallstones. Computed tomographic (CT) scanning . . . [Full Text of this Article]

Differential Diagnosis

Neoplastic Diseases

Inflammatory Diseases

            Acute Pancreatitis

            Drug-Induced Pancreatitis

            Chronic Pancreatitis

Clinical Diagnosis

Dr. Carlos F. Fernández-del Castillo's Diagnosis

Pathological Discussion

Anatomical Diagnosis

Source Information

From the Departments of Surgery (C.F.F.-C.), Radiology (D.V.S.), and Pathology (G.Y.L.), Massachusetts General Hospital and Harvard Medical School.

Related Letters:

Case 27-2003: A 36-Year-Old Man with Recurrent Epigastric Pain and Elevated Amylase Levels
Lowenfels A. B., Makins R., Castillo C. F.-d.
Extract | Full Text | PDF  
N Engl J Med 2003; 349:2171-2172, Nov 27, 2003. Correspondence

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