An 83-year-old Singaporean man presented to clinic for abdominal pain associated with loss of appetite and weight. He had a significant past medical history of hypertension, hyperlipidaemia, previously treated pulmonary tuberculosis, benign prostatic hyperplasia and peripheral vascular disease. His chronic medications included, aspirin, omeprazole, simvastatin and losartan. Otherwise, he did not have any fever, chills, vomiting, diarrhea, haematochezia, melena, change in bowel habits, cough, dyspnea, chest pain, headache, myalgia, joint pain, dizziness, odynophagia or dysphagia.