Abstract

Introduction: Swelling in the epigastrium is caused by those organs anatomically present in the region as well as by other organs in the other regions. This study was done with an interest to know the clinical presentation of the various cause of the epigastric swelling.
Methods: Fifty-two cases with a pathological swelling in the epigastrium, who were admitted to tertiary care center, were randomly selected those cases were studied during their stay in the hospital. In this study, the swelling from stomach and pancreas were included aged more than 12 years and the rest excluded. Relevant investigations were made and the diagnosis confirmed.
Results: There were 16 cases of pancreatic swellings and 11 cases of stomach swellings. Carcinoma stomach and pseudocyst each 21%, secondaries 17%, carcinoma pancreas 9.6%. Symptoms were Nausea (61.53%), pain (55.76%), vomiting (51.95%), weight loss (40.38%), fever (34.61%), anorexia (32.69%).
Conclusion: In this study, the most common swelling was the carcinoma stomach and pseudocyst of pancreas. Most common symptom was nausea, followed by pain, weight loss. The least common symptom was gastrointestinal bleeding