The pain of acute cholecystitis typically lasts longer than three hours and, after three hours, shifts from the epigastrium to the right upper quadrant.
When the primary site is in the epigastrium the source usually is the pancreas, stomach, duodenum, or liver.
It is often accompanied by distension and fullness of the epigastrium and abdomen, acid regurgitation, and a thick and sticky tongue coating.
The pain starts suddenly in the epigastrium or right upper quadrant and may radiate round to the back in the interscapular region.
A large mass was palpable in the epigastrium and right upper quadrant.
After revascularization is complete, the surgeon identifies the bladder and cuts and ligates the epigastric and round ligaments with silk ties.
A 60-year-old woman presented to the emergency department with a complaint of nonradiating, waxing and waning epigastric abdominal pain of two to three hours' duration, with associated nausea and anorexia.
The esophagus lies anterior to the thoracic aorta before exiting through the diaphragm slightly to the left of midline in the epigastric region of the abdomen.
Pancreatic pain is epigastric or periumbilical in its primary location.
It may present as an epigastric mass, epigastric pain radiating to the back, abdominal fullness, nausea, vomiting, or jaundice.