Digestive Diseases and Sciences

, Volume 62, Issue 3, pp 583–587 | Cite as

Acute Pancreatitis: Nothing to SPiT At

  • Anas Gremida
  • Ahmad Altaee
  • Kavita Darji
  • Tarun Rustagi
  • Denis McCarthy
UNM Clinical Case Conferences

Case Report

An 18-year-old female patient was initially evaluated for a 3-day history of worsening epigastric pain, nausea, and vomiting. She had no known medical problems and no history of alcohol consumption, cigarette smoking, or marijuana use. Her only medication was levonorgesterol/ethinyl estradiol for birth control. Physical examination revealed blood pressure 110/65 mmHg, pulse 91/min, temperature 36.6 °C, and respiratory rate 16/min. Cardiopulmonary examination showed normal heart sounds and clear breath sounds. Abdominal examination revealed a flat abdomen with normal bowel sounds, dullness on percussion all over the abdomen, and tenderness on palpation of the epigastrium with local guarding but no rebound tenderness. Murphy’s and Carnett’s signs were negative. Complete blood count, metabolic panel, and liver function laboratory testing were normal with the exception of an elevated serum lipase (8369 U/L; normal range 12–70 U/L).

Computed tomography (CT) of the abdomen (with...


Pancreatitis Progesterone Receptor Acute Pancreatitis Pancreatic Endocrine Neoplasm Solid Pseudopapillary Tumor 
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Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  • Anas Gremida
    • 1
  • Ahmad Altaee
    • 2
  • Kavita Darji
    • 2
  • Tarun Rustagi
    • 1
  • Denis McCarthy
    • 1
  1. 1.Division of Gastroenterology and Hepatology, Department of MedicineUniversity of New Mexico School of MedicineAlbuquerqueUSA
  2. 2.Department of Internal MedicineSaint Louis UniversitySaint LouisUSA

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