Epigastric Pain, Vomiting and Elevated Lipase Level

Epigastric Pain, Vomiting and Elevated Lipase Level

A 62-year-old man with chronic hepatitis C virus infection and alcohol-induced cirrhosis presented after 10 days of epigastric pain and vomiting. The serum lipase level was 6715 U per liter (reference range, 0 to 160).

What’s the diagnosis ?