Intestinal obstruction mimicking acute myocardial infarction.
A 64-year-old woman presented at our institution with abdominal pain. An electrocardiogram suggested the possibility of acute anteroseptal myocardial infarction. Her medical history included esophageal reconstruction with use of a jejunal conduit in the anterior mediastinum. Echocardiography revealed a distended jejunal conduit, which was compressing the right ventricle. Once the cause was identified, nasogastric suction was initiated and the symptoms and electrocardiographic changes resolved.
Mixon
Timothy A
TA
Division of Cardiology, Scott & White Clinic and Hospital, Scott, Sherwood and Brindley Foundation, Texas A&M University Health Science Center, College of Medicine, Temple, Texas 76508, USA. tmixon@swmail.sw.org
Houck
Philip D
PD
D015746:Abdominal Pain / Q000209:etiology; D002637:Chest Pain / Q000209:etiology; D013505:Digestive System Surgical Procedures / Q000009:adverse effects; D004562:Electrocardiography; D004940:Esophageal Stenosis / Q000628:therapy; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D007583:Jejunum / Q000637:transplantation; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis*; D011859:Radiography