Case Presentation: A 39 year-old female with a history of hypertriglyceridemia (HTG), IDDM2, and obesity presented to an outside hospital with severe epigastric abdominal pain and was diagnosed with recurrent hypertriglyceridemia-induced pancreatitis (HTGP). Intravenous insulin was started and she was transferred to our hospital for management. On arrival, she was tachycardic and tachypneic with a [...]

Case Presentation: A 41-year-old male with a past medical history of chronic alcoholic pancreatitis and right-sided pancreatic pseudocyst presented with shortness of breath and right-sided chest pain that began three days prior. Chest X-ray showed near-complete opacification of the right hemithorax. A diagnostic thoracentesis revealed an exudative pleural effusion with a pleural amylase level of [...]

Case Presentation: A 34 year old man with no known medical illnesses presented with a three-day history of progressively worsening acute-onset left inguinal swelling. The swelling was associated with a pain severity score of 10/10. He denied any nausea, vomiting, diarrhea, constipation, abdominal pain or decreased/absent flatus. Social history was significant for alcohol use and [...]

Case Presentation: A 70-year-old male with a history of hypertension and alcohol use disorder was referred to our ED for persistently elevated lipase. Two weeks prior he was admitted to an outside hospital for alcohol induced pancreatitis. On presentation, he reported bilateral ankle pain. Vitals were unremarkable. Physical examination was significant for bilateral erythematous, edematous [...]

Case Presentation: A 31-year-old-female presented to the hospital with a one-day history of severe left lower quadrant abdominal pain that was gradual in onset, associated with nausea and emesis. She also reported epigastric and left flank pain. She experienced a similar episode two months prior, which lasted several days. She denied hematuria, vaginal discharge, or [...]

Case Presentation: Our case involves a 45-year-old male with a history of alcohol abuse, who presented with acute epigastric pain and bilious emesis. On exam, he had severe epigastric tenderness with guarding and normoactive bowel sounds. When obtaining labs, his blood was grossly turbid. Labs were significant for elevated lipase (1,534 IU/L), normal TSH (1.23 [...]

Case Presentation: A 37 year old male with a history of asthma presented with a three day history of acute onset left upper quadrant (LUQ) abdominal pain, worse after meals and associated with nausea. He had no history of cholelithiasis, alcohol abuse or trauma. Vital signs on admission were in normal range. Exam revealed LUQ [...]

Case Presentation: A 49-year-old male with past medical history of alcohol use disorder, hypertension, and necrotizing pancreatitis presented with severe epigastric pain for one day. The pain was sharp, non-radiating, worsened by eating, and associated with nausea and diarrhea. He drinks a fifth of hard liquor daily. Pertinent labs showed bicarbonate 8 with an anion [...]

Case Presentation: A thirty-three year old woman with a history of alcohol-induced chronic pancreatitis and sphincter of Oddi dysfunction presented with dyspnea and a non-productive cough. She was admitted to the intensive care unit for acute hypoxic respiratory failure. On arrival, she was febrile and hypoxic, saturating 80% on room air. Labs were notable for [...]

Case Presentation: We present a case of hereditary pancreatitis in the setting of SPINK1 gene mutation (c.101A>G; p.Asn34Ser) with symptom onset at age sixty-six. The patient had no history of alcohol use and remote history of cholecystectomy, however, did have a strong first-degree family history in her brother and sister, who also began to experience [...]