[Verified Answer]: A 24-year-old male patient, with unremarkable…

A 24-year-old male patient, with unremarkable medical or surgical history except for heavy smoking, presented to the ED with severe epigastric abdominal pain of a 4-h duration. The pain started suddenly in the epigastric area of the abdomen, with radiation to the back. The pain was continuous and increasing in intensity over time, with mild pain relief when leaning forward. Additionally, it was associated with dyspnea but without any chest pain