以下为句子列表：
英文: A 47-year-old man suffered persistent epigastric pain with a positive peritoneal sign after a heavy meal.
中文: 胃镜检查发现胃体部下段前壁侧有一个外来物的压迫现象。
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英文: He presented with hiccups, epigastric pain and vomiting, and his serum amylase and lipase levels were elevated.
中文: 他的症状有：呃逆、上腹部疼痛和呕吐，他的血清淀粉酶和脂肪酶水平升高。
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英文: Recurrent epigastric pain occurred in the following years.
中文: 其后数年患者有反覆上腹痛之症状。
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英文: With the advent of vomiting， he noted severe epigastric pain as well as severe headache.
中文: 当要呕吐时，他发觉有严重的腹上部痛和剧烈的头痛。
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