Case Presentation: A 42-year-old African woman with past medical history of anxiety, depression, hyperlipidemia and recent diagnosis of hypertension presented with two days of acute onset, severe, persistent, cramping mid-epigastric abdominal pain worse with eating and drinking. The pain was associated with nausea and non-bloody non-bilious emesis. The patient was initiated on lisinopril-hydrochlorothiazide two days [...]