Congenital heart disease manifested as acute abdominal pain.
We present a case of a 53-year-old man with complaints of severe abdominal pain and nausea. Emergency department abdominal workup was non-diagnostic. Physical examination revealed signs of right- and left-heart failure. A past medical history of dysrhythmias and chronic abdominal complaints prompted hospital admission. Subsequent right heart catheterization revealed a significant left-to-right shunt. CT scan of the chest and angiography confirmed the diagnosis of an abnormal ascending vein between the innominate vein and the left superior pulmonary vein. After the anomalous vein was ligated, the patient's abdominal pain resolved.
Macha
Mahender
M
Gupta
Dipin
D
Molina
Ezequiel
E
Palma
Jon
J
Rothman
Steven
S
D015746:Abdominal Pain / Q000175:diagnosis*; D000208:Acute Disease; D000792:Angiography; D016121:Brachiocephalic Veins / Q000002:abnormalities*; D006328:Cardiac Catheterization; D003937:Diagnosis, Differential; D004636:Emergency Service, Hospital; D005500:Follow-Up Studies; D006330:Heart Defects, Congenital / Q000175:diagnosis*; D006801:Humans; D008026:Ligation; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D011667:Pulmonary Veins / Q000002:abnormalities*; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods