title: When you hear hoofbeats, think of horses but do not forget the zebras.
abstract: We report a case of a 68-year-old man who was admitted to the department of cardiology with increasing abdominal and chest pain during the day. The prehospital ECG showed clear ST segment elevation in inferior leads. The patient was routed directly to the catheterisation laboratory with acute myocardial infarction as a tentative diagnosis. The coronary angiography showed an occluded right coronary artery that was reopened with a plain old balloon angioplasty procedure. After the procedure, the patient was expected to feel better, but the abdominal pain worsened. The following bedside ultrasound examination was quite surprising.
authors: Aarhus University Hospital, Aarhus, Denmark Department of Cardiology, Aarhus University Hospital, Aarhus N, Denmark.
authors: Anders
authors: A
authors: Stochholm
authors: Department of Cardiology, Aarhus University Hospital, Aarhus N, Denmark.
authors: Brian Bridal
authors: BB
authors: Løgstrup
mesh_terms: D015746:Abdominal Pain / Q000000981:diagnostic imaging* / Q000209:etiology / Q000473:pathology; D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000379:methods*; D017023:Coronary Angiography; D004562:Electrocardiography; D006801:Humans; D007081:Ileostomy / Q000379:methods*; D008297:Male; D035422:Pleural Cavity / Q000002:abnormalities / Q000000981:diagnostic imaging*; D019095:Point-of-Care Systems; D013270:Stomach / Q000002:abnormalities / Q000000981:diagnostic imaging*; D016896:Treatment Outcome; D014463:Ultrasonography