Abstract
A 67-year-old man presented to the emergency department, with acute onset of chest pain. Based on ECG changes suggestive of ST elevation myocardial infarction (STEMI), he was taken emergently to the cardiac catheterisation laboratory for coronary angiography. There he was found to have only nonobstructive coronary disease. Subsequent physical examination and review of his chest radiograph revealed subcutaneous emphysema, and CT scan revealed a distal oesophageal rupture and pneumomediastinum. After stabilisation in the intensive care unit (ICU), he was taken to the operating room for thoracotomy, chest tube placement and stenting of his oesophagus. He survived the incident and, after several weeks of ICU stay, recovered to a large extent. His case highlights the importance of considering oesophageal rupture in the differential diagnosis for acute onset of chest pain.
| Original language | English (US) |
|---|---|
| Article number | 214906 |
| Journal | BMJ Case Reports |
| Volume | 2016 |
| DOIs | |
| State | Published - Apr 11 2016 |
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ASJC Scopus subject areas
- Medicine(all)
Cite this
Oesophageal rupture masquerading as STEMI. / Skaug, Brian; Taylor, Kenneth R.; Chandrasekaran, Somya.
In: BMJ Case Reports, Vol. 2016, 214906, 11.04.2016.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Oesophageal rupture masquerading as STEMI
AU - Skaug, Brian
AU - Taylor, Kenneth R.
AU - Chandrasekaran, Somya
PY - 2016/4/11
Y1 - 2016/4/11
N2 - A 67-year-old man presented to the emergency department, with acute onset of chest pain. Based on ECG changes suggestive of ST elevation myocardial infarction (STEMI), he was taken emergently to the cardiac catheterisation laboratory for coronary angiography. There he was found to have only nonobstructive coronary disease. Subsequent physical examination and review of his chest radiograph revealed subcutaneous emphysema, and CT scan revealed a distal oesophageal rupture and pneumomediastinum. After stabilisation in the intensive care unit (ICU), he was taken to the operating room for thoracotomy, chest tube placement and stenting of his oesophagus. He survived the incident and, after several weeks of ICU stay, recovered to a large extent. His case highlights the importance of considering oesophageal rupture in the differential diagnosis for acute onset of chest pain.
AB - A 67-year-old man presented to the emergency department, with acute onset of chest pain. Based on ECG changes suggestive of ST elevation myocardial infarction (STEMI), he was taken emergently to the cardiac catheterisation laboratory for coronary angiography. There he was found to have only nonobstructive coronary disease. Subsequent physical examination and review of his chest radiograph revealed subcutaneous emphysema, and CT scan revealed a distal oesophageal rupture and pneumomediastinum. After stabilisation in the intensive care unit (ICU), he was taken to the operating room for thoracotomy, chest tube placement and stenting of his oesophagus. He survived the incident and, after several weeks of ICU stay, recovered to a large extent. His case highlights the importance of considering oesophageal rupture in the differential diagnosis for acute onset of chest pain.
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UR - http://www.scopus.com/inward/citedby.url?scp=84964329790&partnerID=8YFLogxK
U2 - 10.1136/bcr-2016-214906
DO - 10.1136/bcr-2016-214906
M3 - Article
C2 - 27068730
AN - SCOPUS:84964329790
VL - 2016
JO - BMJ Case Reports
JF - BMJ Case Reports
SN - 1757-790X
M1 - 214906
ER -