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A 39-year-old man was admitted to our hospital for acute epigastric pain with nausea and vomiting. Physical examination was suggestive for acute abdomen without peritoneal irritation findings. Blood tests results were as follow: alanine aminotransferase (ALT): 87 U/L, aspartate aminotransferase (AST): 55 U/L, amylase: 135 U/L, lipase: 69 U/L, total bilirubin: 11,6 mg/l, creatinine: 9 mg/l, C-reactive protein (CRP): 108,4 mg/L, and white blood cells (WBC): 14640/mm3

Heterotopic pancreatitis causing confusion in small bowel tumor.