35 - year old ladypresented to LPC Mumbai with intermittent abdominal pain. Pain was intermittent, colicky, more in epigastrium and periumbilical region & radiating to back, mainly postprandial & accompanied by vomiting. She also had intermittent loose motions & significant weight loss. There was no history of anorexia, GI bleed (hematemesis / melena), constipation, yellow discoloration of sclera, dark urine, or pale stool (indicators of jaundice). She had history of tobacco usage. However there was no history of alcohol abuse, surgery and major illness. She did not have history of diabetes, hypertension, TB, heart disease or any other illness in the past. She did not have urinary and gynecological symptoms.