الملخص الإنجليزي
A 28-year-old man was referred as an
emergency case from a regimental medical
clinic to the surgical unit of the Armed Forces
Hospital, Muscat, Oman, in 2016 with complaints of
severe vomiting, epigastric pain and bloating of two
days' duration. The patient gave a history of abdominal
bloating associated with early satiety, postprandial
pain and occasional vomiting over the past year and a
half. There was no other significant medical or surgical
history. Clinically, the patient was underweight and
pale with a body mass index of 17 kg/m2
. An abdominal examination revealed upper abdominal tenderness and distention. The findings of initial blood tests
and laboratory investigations were unremarkable.
An ultrasound of the abdomen performed two days
prior at the previous institution demonstrated no
sonographical abnormalities.
