17th July 2020

A 50-year-old man presents to A&E with severe epigastric pain and vomiting

A 50-year-old man presents to A&E with severe epigastric pain and vomiting. He appears very unwell and quickly becomes shocked, with a BP of 88/50, and a tachycardia of 120. He has a social history of excessive alcohol intake and IVDU and has several previous admissions to A&E in the last year for alcohol-related injuries. 

Please select the SINGLE most likely diagnosis. Select ONE option from the list above.