34-Year-Old Man With Sudden Epigastric Abdominal Pain
A 34-year-old man with a history of multiple episodes of acute pancreatitis complicated by known pseudocysts, fatty liver disease, and polysubstance abuse presented to the emergency department with sudden onset of epigastric abdominal pain, nausea, and vomiting. His symptoms started approximately 45 minutes after eating dinner. He was not taking any medications and denied recent trauma. The patient reported active smoking (19 pack-year history) and consumption of several alcoholic drinks earlier that day.