Which condition is associated with elevated liver enzymes and abdominal pain?

Elevated liver enzymes and abdominal pain are notably associated with acute cholecystitis, which is inflammation of the gallbladder typically due to obstruction from gallstones. This condition can lead to increased bilirubin levels and hepatic enzyme release, resulting in elevated liver enzymes such as AST, ALT, and alkaline phosphatase.

Patients often present with symptoms like right upper quadrant pain that may radiate to the shoulder, fever, and nausea. The liver enzymes suggest hepatic involvement, which is common when the bile duct is obstructed, impacting liver function.

In contrast, the other conditions listed may present with abdominal pain but do not typically lead to elevated liver enzymes. For example, pancreatitis usually causes elevated lipase and amylase levels rather than liver enzymes. Appendicitis typically presents with localized pain in the right lower quadrant and does not involve liver function directly. Pneumonia primarily manifests with respiratory symptoms and may cause referred pain but is not associated with changes in liver enzyme levels.

Thus, acute cholecystitis is the condition most strongly correlated with both elevated liver enzymes and abdominal pain in this context.