Abstract

An 88-year-old man presented to the emergency de-partment with sudden onset of abdominal pain since 6 hours before. He described his pain as an epigastric pain that had become generalized without any radia-tion. The pain was persistent and aggravated by meal. It was associated with nausea but not with vomiting, diarrhea, hematochezia, hematemesis or dysuria. He was a known case of chronic renal failure that under-went hemodialysis three times a week. He also suf-fered from hypertension and benign prostatic hyper-plasia. The patient was under treatment with aspirin, atorvastatin, furosemide, finasteride, and tamsulos-in. He did not use cigarette, opium or alcohol.

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