A supine abdominal radiograph with distended bowel loops in the right flank and epigastric region
Voluntary guarding was elicited in the right epigastric region
, and free air was detected under the right hemidiaphragm on abdominal radiography.
Patient was apparently asymptomatic 3 days before, then she developed pain abdomen initially in epigastric region
radiating to back, then diffuse in nature associated with vomiting, nausea and anorexia.
We cleaned the wound daily for the first couple of days, because the exten- sive abscess had spread up to the epigastric region
of the abdomen.
Abdominal examination revealed mild tenderness over the epigastric region
without rebound, guarding, or organomegaly.
Examination of his abdomen revealed severe tenderness confined to upper abdomen with rigidity in epigastric region
During the course of PICU stay, the rashes seemed to disappear, hematemesis subsided but the patient continued to have severe pain abdomen, colicky in nature, with tenderness in the Right subcostal and epigastric region
The pain was sudden in onset, mainly in the epigastric region
, radiating to the back.
Given its rarity, a high index of suspicion is required to correctly diagnose this condition and also well prepared while exploring a retroperitoneal mass in the epigastric region
Her abdomen was tender in the epigastric region
, left hypochondrium and left renal angle.
Examination of abdomen revealed a mass of around 5x4 cms in epigastric region
with visible pulsations.