A 55-year-old white female has pain in the epigastric region…

A 55-year-old white female has pain in the epigastric region, radiating to the back on her left and right sides. She was brought to a clinic in France by her family. Three of her sons and two nurses lifted her onto the examination table. Her skin and sclera are also yellowish, and she is vomiting. What is the location of the immediate problem?