title: A rare cause of chest pain mimicking myocardial infarction.
abstract: We present a patient who underwent endoscopic retrograde cholangiopancreatography procedure for bile duct stone removal and sphincterotomy. Upon completion of the procedure, the patient experienced severe chest pain. Because myocardial infarction was the likely diagnosis, we immediately performed a coronary angiography, which identified severe coronary lesions without any total occlusion. Being skeptical of the possible cause, we searched for alternative causes and interestingly found pneumothorax, pneumomediastinum, and retro-intra-abdominal free air. This rare complication is particularly important for a cardiologist because they should be aware of such a complication, and correlation with the symptoms and coronary lesions should always be made.
authors: Department of Cardiology, Bahçelievler Medicana Hospital, İstanbul, Turkey. keskinkudret@yahoo.com.
authors: Kudret
authors: K
authors: Keskin
authors: Department of Cardiology, Bahçelievler Medicana Hospital, İstanbul, Turkey.
authors: Murat
authors: M
authors: Başkurt
authors: Department of Cardiology, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey.
authors: Faruk
authors: F
authors: Aktürk
authors: Department of Cardiology, Near East University, Nicosia, (North) Cyprus.
authors: Cenk
authors: C
authors: Conkbayır
mesh_terms: D002637:Chest Pain / Q000209:etiology; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000009:adverse effects*; D017023:Coronary Angiography; D003937:Diagnosis, Differential; D005260:Female; D042882:Gallstones / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis / Q000000981:diagnostic imaging; D011030:Pneumothorax / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology; D011183:Postoperative Complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology; D014057:Tomography, X-Ray Computed