A 48-year-old man presents with severe abdominal pain in the…
A 48-year-old man presents with severe abdominal pain in the mid-epigastric region. The pain began 3 days ago with an intensity of 10/10, concurrent nausea, and two recent episodes of emesis. The patient denies any significant past medical history. The findings on the physical exam are: Vital signs: BP: 86/58 Pulse: 112 Temp: 101.5° F. There is rebound tenderness in the mid-epigastric area, absent bowel sounds, and a positive Cullen sign. The rest of the physical examination is within normal limits. What are the two most common causes of this condition?