Oesophageal intubation was defined if two A-M interfaces with comet-tail artefacts and posterior shadowing was there, which is known as a "double tract sign."  Immediately bag ventilation was started, other faculty observed for waveform capnography and ETCO2 level and simultaneously auscultation of chest and epigastrium
was also done.
Using his/her right hand surgeon inserted the marry land through the epigastrium
port and with left hand grasping Hartman's pouch of gall bladder through third port, moving the infundibulum medially and laterally to dissect and visualize cystic duct and artery.
The MRI showed mix attenuation mass of 19.7 x 16.8 x 13.7cms arising from right side of uterus extending up to epigastrium
, with cystic and solid components and ascitic fluid.
There is tenderness in epigastrium
otherwise rest of the examination is unremarkable.
On admission the patient was haemodynamically stable with a pulsatile, non-tender mass palpable in the epigastrium
and tenderness in the left iliac fossa.
It is usually located anywhere from the lateral aspect of the breasts to the epigastrium
. A furrow or shallow groove over the cord is highlighted by the addition of slight caudal traction below the lesion.
All soldiers evacuated from altitude 8000 feet or more with major complaint of typical or atypical chest pain, alone or associated with other symptoms like shortness of breath, palpitation, headache, edema, pain epigastrium
, nausea, vomiting, and dry or productive cough were included in the study.
Pain encountered following the laparoscopic cholecystectomy (LC) can be related to surgical manipulation intraabdominal pressure applied during operation irritation caused by CO2 administered intraperitoneally and irritation caused by bile leakage during the operation.12 Pain following LC is perceived in epigastrium
back and shoulders and most frequently in upper abdomen.3Pain following the operation is one of the most important factors causing morbidity and mortality two causes prolonging the hospital stay.4Pre-emptive analgesia can both decrease the severity and duration of pain and also can delay the pain.5 Opioids non-steroidal anti-inflammatory drugs (NSAID) are frequently used for this purpose.
On arrival, he was ill-looking with severe dehydration and emaciated with visible peristalsis at the epigastrium
. There were no other associated congenital anomalies present.
At the time of admission her general condition was good, although she reported abdominal discomfort and there was a hard mass in the epigastrium
. Laboratory test results indicated mild cholestasis: bilirubin 147 umol/l (normal values <18), alkaline phosphatase 7.4 ukat/l (normal <1.5), glutamyltransferase 8.39 ukat/l (normal <0.5), haematocrit 40% and white blood cell (WBC) count of 14 800.
Most patients described heartburn as burning sensation in retrosternal area spreading from epigastrium
Nausea is the subjective sensation of an impending urge to vomit, mostly it is perceived in the throat or epigastrium
of the patient.