Case of July 2013

Clinical History:

This 20 year-old gentleman, with good past health, was presented with central abdominal pain for one day and vomited twice. On admission, the patient was afebrile. Physical examination showed epigastric tenderness +/- gurading. White cell count was mildly elevated. Un-enhanced and contrast-enhanced computed tomography (CT) of abdomen and pelvis was performed as urgent request.