Abstract
Abdominal pain is the most frequently reported symptom in acute pancreatitis and occurs in almost every case. The patient experiences pain either in the epigastrium alone or in the epigastrium and left upper abdomen, or throughout the entire upper abdomen. Pain radiates through to the back in about half of the patients. Sometimes, it radiates into the left anterior chest, the left shoulder, or the lower abdomen. Pain reported in the right or left lower abdomen is probably caused by pancreatic exudate spreading via the transverse mesocolon to the cecum or along the left colon. Pain is usually more intensive in the upper than in the lower abdomen [16, 17].
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Lankisch, P.G., Banks, P.A. (1998). Acute Pancreatitis: Diagnosis. In: Pancreatitis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-80320-8_9
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