Abdominal pain and milky white serum.
A 40-year-old Caucasian man presented with intractable abdominal pain and nausea for 2 days. The epigastric pain was sharp, insidious in onset and radiated to the right upper quadrant. He reported nausea but no vomitings or changes in bowel movements. He denied any fever or chills and rigors. He denied any similar episodes in the past. He denied any alcohol use in the past 1 week. He denied using any over-the-counter medications. He had non-insulin-dependent diabetes and dyslipidemia for the last 5 years. He was non-adherent to medications. …