Case 35082

Presentation of CaseA seventy-three-year-old widow entered the hospital complaining of epigastric pain with vomiting.Four weeks prior to admission she suffered an episode of dull, nonradiating, epigastric pain with nausea, vomiting, diarrhea and a temperature of 101°F. She was seen by her physician, and a diagnosis of acute gastroenteritis was made. About one week later she began to experience almost daily episodes of steady, epigastric pain, lasting for two or three hours and relieved by morphine. These attacks were associated with nausea and occasional vomiting. There was probable aggravation of the pain by the taking of food. No history . . .