Digestive Diseases and Sciences

, Volume 64, Issue 2, pp 349–352 | Cite as

Seeing Double: An Unusual Case of Chronic Recurrent Nausea, Vomiting and Epigastric Pain

  • Sameen KhalidEmail author
  • Anas Gremida
  • Tarun Rustagi
  • Denis McCarthy

Case Report

A 42-year-old male was initially evaluated in the emergency department with a 2-month history of intermittent, non-radiating, dull epigastric pain exacerbated by food intake. He also complained of postprandial fullness, nausea, and multiple episodes of vomiting. These symptoms had recurred episodically for many years. He denied any unintentional weight loss, change in bowel habits, melena, hematochezia, or hematemesis. He was a chronic heavy alcohol consumer, starting drinking at age 15, currently consuming 1 pint of whiskey/day before admission. He had a history of multiple admissions due to alcohol withdrawal, epigastric pain, and hematemesis. He had had multiple esophagogastroduodenoscopies (EGDs) in the past that had shown hiatus hernia, esophagitis, and Mallory–Weiss tears, though no cause of his recurrent epigastric pain, nausea, and vomiting had been identified.

Physical examination revealed a normal appearing male with BMI of 24 kg/m2. Vital signs on admission:...


Epigastric pain Nausea Vomiting Duplication Gastric Enteric Cyst Endoscopic ultrasound 


Compliance with ethical standards

Conflict of interest

The authors have no conflict of interest to disclose.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Sameen Khalid
    • 1
    Email author
  • Anas Gremida
    • 1
  • Tarun Rustagi
    • 1
  • Denis McCarthy
    • 1
  1. 1.Division of Gastroenterology and Hepatology, Department of MedicineUniversity of New Mexico School of MedicineAlbuquerqueUSA

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