]> 2026-07-31T09:40:53+00:00 WBR1111 0 en Acute pancreatitis Acute mesenteric ischemia Chronic mesenteric ischemia Colonic ischemia Perforated peptic ulcer disease Emergency Room A 43 year old male is brought to the emergency department with complaints of sudden onset of severe abdominal pain for the past five hours. The pain is generalized and is increasing in severity since then. He also had two episodes of non-bloody vomiting on the way to the emergency department. On further review of his history, he reveals that he was having recurrent episodes of abdominal pain for the past three months, especially after meals that persisted for one to two hours. He denies any blood or mucus in stools or any recent travel outside the country. His past history is significant for mitral valvular disease and is on ACE inhibitors and thiazide diuretics for that. He is a chronic smoker, but consumes alcohol occasionally. His family history is insignificant. On examination his vitals are pulse: 114/min, BP: 100/60 mmHg and temperature: 38 degree Celsius. Abdominal examination reveals generalized tenderness with no rebound tenderness and guarding. Bowel sounds are normal. Other system examinations are normal except for a murmur at the mitral area. What is the most likely diagnosis at this point in this patient? B Gastrointestinal 2020-10-28T02:38:42Z 2459150.6102083 WBR1111