Skip to main content

Recurrent Epigastric Pain

  • Chapter
Internal Medicine
  • 3564 Accesses

Abstract

Epigastric pain is a term used to describe dull achy pain located at the area of the epigastrium beneath the xyphoid process. Epigastric pain is a very common complaint encountered in both medical and surgical casualty departments. Diagnosis often is established by proper history, examination, and laboratory investigations. This topic discusses some causes of recurrent epigastric pain, in which radiology can play an important role in establishing the underlying diagnosis.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 209.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

For Further Reading

  1. Hayes R. Abdominal pain: General imaging strategies. Eur Radiol. 2004;14:L123–37

    Article  PubMed  Google Scholar 

  2. Foertsch T et al Celiac trunk compression syndrome requiring surgery in 3 adolescent patients. J Pediatr Surg. 2007;42:709–13

    Article  PubMed  Google Scholar 

  3. Iwazawa J et al Successful embolization of a ruptured pan-creaticoduodenal artery aneurysm associated with the median arcuate ligament syndrome. Indian J Radiol Imag. 2008;18:171–4

    Article  Google Scholar 

  4. Kohler TR et al Pancreaticoduodenectomy and the celiac trunk compression syndrome. Ann Vasc Surg. 1990;4:77–80

    Article  PubMed  CAS  Google Scholar 

  5. Vaziri K et al Laparoscopic treatment of celiac trunk com pression syndrome: Case series and review of current treatment modalities. J Gastrointest Surg. 2009;13:293–98. doi 10.1007/s11605–088–0702–9

    Article  PubMed  Google Scholar 

  6. Frangos SG et al Recurrent celiac trunk compression syn- drome. Int J Angiol. 1999;8:150–3

    Article  PubMed  Google Scholar 

  7. Sugiyama K et al Analysis of five cases of splanchnic artery aneurysm associated with celiac artery stenosis due to compression by the median arcuate ligament. Clin Radiol. 2007; 62:688–93

    Article  PubMed  CAS  Google Scholar 

  8. Ortiz C et al Familial superior mesenteric artery syndrome. Pediatr Radiol. 1990;20:588–9

    Article  PubMed  CAS  Google Scholar 

  9. Bhattacharya D et al Superior mesenteric artery syndrome (Wilkie's syndrome) complicating recovery from posterior fossa surgery in a child - A rare phenomenon. Childs Nerv Syst. 2008;24:365–67

    Article  PubMed  Google Scholar 

  10. Bhattacharjee PK.Wilkie's syndrome: An uncommon cause of intestinal obstruction. Indian J Surg. 2008;70:83–85

    Article  PubMed  Google Scholar 

  11. Santer R et al Computed tomography in superior mesen- teric artery syndrome. Pediatr Radiol. 1991;21:154–55

    Article  PubMed  CAS  Google Scholar 

  12. Reddy RR et al Superior mesenteric artery syndrome after correction of scoliosis - A case report. Indian J Orthop. 2005;39:59–61

    Google Scholar 

  13. Makam R et al Laparoscopic management of superior mes- enteric artery syndrome: A case report and review of the literature. J Min Access Surg. 2008;3:80–82

    Article  Google Scholar 

  14. Payawal JH et al Superior mesenteric artery syndrome involving the duodenum and jejunum. Emerg Radiol. 2004;10:273–75

    Article  PubMed  Google Scholar 

  15. Lippl F et al Superior mesenteric artery syndrome: Diagnosis and treatment from the gastroenterologist's view. J Gastroenterol. 2002;37:640–43

    Article  PubMed  Google Scholar 

  16. Rubesin SE et al Gastritis from NSAIDS to Helictobacter pylori. Abdom Imaging. 2005;30:142–59

    Article  PubMed  CAS  Google Scholar 

  17. Chen CY et al Differentiation of gastric ulcers with MDCT. Abdom Imaging. 2007;32:688–93

    Article  PubMed  Google Scholar 

  18. Ranschaert E et al Confined gastric perforation: ultrasound and computed tomographic diagnosis. Abdom Imaging. 1993; 18:318–19

    Article  PubMed  CAS  Google Scholar 

  19. Coulier B et al Gastric ulcer penetrating the anterior abdominal wall: Ultrasound diagnosis. Abdom Imaging. 2003;28:248–51

    Article  PubMed  CAS  Google Scholar 

  20. Okada M et al Radiographic findings of intractable gastric ulcers with H 2 -receptor antagonists. Abdom Imaging. 1996; 21:133–41

    Article  PubMed  CAS  Google Scholar 

  21. Kim JH et al Imaging of various gastric lesions with 2D MPR and CT gastrography performed with multidetector CT. RadioGraphics. 2006;26:1101–18

    Article  PubMed  Google Scholar 

  22. Fishman EK et al CT of the stomach: Spectrum of disease. RadioGraphics. 1996;16:1035–54

    PubMed  CAS  Google Scholar 

  23. Thompson WM et al Unusual manifestations of peptic ulcer disease. RadioGraphics. 1981;1:1–16

    Google Scholar 

  24. Ellison EC et al The Zollinger-Ellison Syndrome: A comprehensive review of historical, scientific, and clinical considerations. Curr Probl Surg. 2009;46:13–106

    Article  PubMed  Google Scholar 

  25. Canon CL et al Surgical approach to gastroesophageal reflux disease: What the radiologist needs to know. RadioGraphics. 2005;25:1485–99

    Article  PubMed  Google Scholar 

  26. Levine MS. Barrett esophagus: Update for radiologists. Abdom Imaging. 2005;30:133–41

    Article  PubMed  CAS  Google Scholar 

  27. Stadler J et al The ‘steakhouse syndrome.’ Primary and defin-itive diagnosis and therapy. Surg Endosc. 1989;3:195–8

    Article  PubMed  CAS  Google Scholar 

  28. Anderson SR et al Plummer-Vinson syndrome herald by postcricoid carcinoma. Am J Otolaryngol. 2007;28:22–24

    Article  PubMed  Google Scholar 

  29. Ba-Ssalamah A et al Dedicated multi-detector CT of the esophagus: Spectrum of diseases. Abdom Imaging. 2009; 34:3–18

    Article  PubMed  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2010 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Al-Tubaikh, J.A. (2010). Recurrent Epigastric Pain. In: Al-Tubaikh, J.A. (eds) Internal Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-03709-2_3

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-03709-2_3

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-03708-5

  • Online ISBN: 978-3-642-03709-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics