Cargando…

Esophagus perforation and myocardial penetration caused by swallowing of a foreign body leading to a misdiagnosis of acute coronary syndrome: a case report

INTRODUCTION: Here we present our clinical experience in a case of esophagus perforation due to the swallowing of a bone piece causing acute angina pectoris and leading to misdiagnosis of acute coronary syndrome. CASE PRESENTATION: A 73-year-old Caucasian man underwent urgent coronary angiography wi...

Descripción completa

Detalles Bibliográficos
Autores principales: Erdal, Uysal, Mehmet, Dokur, Turkay, Kirdak, Mehmet, Ikidag A, Ibrahim, Nacak, Hasan, Bakir
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4363457/
https://www.ncbi.nlm.nih.gov/pubmed/25889407
http://dx.doi.org/10.1186/s13256-015-0532-9
_version_ 1782361909875441664
author Erdal, Uysal
Mehmet, Dokur
Turkay, Kirdak
Mehmet, Ikidag A
Ibrahim, Nacak
Hasan, Bakir
author_facet Erdal, Uysal
Mehmet, Dokur
Turkay, Kirdak
Mehmet, Ikidag A
Ibrahim, Nacak
Hasan, Bakir
author_sort Erdal, Uysal
collection PubMed
description INTRODUCTION: Here we present our clinical experience in a case of esophagus perforation due to the swallowing of a bone piece causing acute angina pectoris and leading to misdiagnosis of acute coronary syndrome. CASE PRESENTATION: A 73-year-old Caucasian man underwent urgent coronary angiography with possible diagnosis of acute coronary syndrome. His coronary arteries were found to be normal. A computed tomography examination revealed esophagus perforation by a foreign body (a piece of bone), and he underwent urgent left thoracotomy and the foreign body was removed. CONCLUSIONS: Sometimes, even a piece of bone within a meal can lead to esophagus perforation, and injure the pericardium and myocardium. The symptoms of esophagus perforation may be confused with acute coronary syndrome due to their similarities and lack of knowledge about the detailed clinical history as shown in our case. Thus, careful consideration of detailed clinical history as well as choosing an appropriate medical imaging modality, such as computed tomography, should always be kept in mind in order to promptly diagnose and start early treatment to reduce mortality.
format Online
Article
Text
id pubmed-4363457
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-43634572015-03-19 Esophagus perforation and myocardial penetration caused by swallowing of a foreign body leading to a misdiagnosis of acute coronary syndrome: a case report Erdal, Uysal Mehmet, Dokur Turkay, Kirdak Mehmet, Ikidag A Ibrahim, Nacak Hasan, Bakir J Med Case Rep Case Report INTRODUCTION: Here we present our clinical experience in a case of esophagus perforation due to the swallowing of a bone piece causing acute angina pectoris and leading to misdiagnosis of acute coronary syndrome. CASE PRESENTATION: A 73-year-old Caucasian man underwent urgent coronary angiography with possible diagnosis of acute coronary syndrome. His coronary arteries were found to be normal. A computed tomography examination revealed esophagus perforation by a foreign body (a piece of bone), and he underwent urgent left thoracotomy and the foreign body was removed. CONCLUSIONS: Sometimes, even a piece of bone within a meal can lead to esophagus perforation, and injure the pericardium and myocardium. The symptoms of esophagus perforation may be confused with acute coronary syndrome due to their similarities and lack of knowledge about the detailed clinical history as shown in our case. Thus, careful consideration of detailed clinical history as well as choosing an appropriate medical imaging modality, such as computed tomography, should always be kept in mind in order to promptly diagnose and start early treatment to reduce mortality. BioMed Central 2015-03-12 /pmc/articles/PMC4363457/ /pubmed/25889407 http://dx.doi.org/10.1186/s13256-015-0532-9 Text en © Erdal et al.; licensee BioMed Central. 2015 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Erdal, Uysal
Mehmet, Dokur
Turkay, Kirdak
Mehmet, Ikidag A
Ibrahim, Nacak
Hasan, Bakir
Esophagus perforation and myocardial penetration caused by swallowing of a foreign body leading to a misdiagnosis of acute coronary syndrome: a case report
title Esophagus perforation and myocardial penetration caused by swallowing of a foreign body leading to a misdiagnosis of acute coronary syndrome: a case report
title_full Esophagus perforation and myocardial penetration caused by swallowing of a foreign body leading to a misdiagnosis of acute coronary syndrome: a case report
title_fullStr Esophagus perforation and myocardial penetration caused by swallowing of a foreign body leading to a misdiagnosis of acute coronary syndrome: a case report
title_full_unstemmed Esophagus perforation and myocardial penetration caused by swallowing of a foreign body leading to a misdiagnosis of acute coronary syndrome: a case report
title_short Esophagus perforation and myocardial penetration caused by swallowing of a foreign body leading to a misdiagnosis of acute coronary syndrome: a case report
title_sort esophagus perforation and myocardial penetration caused by swallowing of a foreign body leading to a misdiagnosis of acute coronary syndrome: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4363457/
https://www.ncbi.nlm.nih.gov/pubmed/25889407
http://dx.doi.org/10.1186/s13256-015-0532-9
work_keys_str_mv AT erdaluysal esophagusperforationandmyocardialpenetrationcausedbyswallowingofaforeignbodyleadingtoamisdiagnosisofacutecoronarysyndromeacasereport
AT mehmetdokur esophagusperforationandmyocardialpenetrationcausedbyswallowingofaforeignbodyleadingtoamisdiagnosisofacutecoronarysyndromeacasereport
AT turkaykirdak esophagusperforationandmyocardialpenetrationcausedbyswallowingofaforeignbodyleadingtoamisdiagnosisofacutecoronarysyndromeacasereport
AT mehmetikidaga esophagusperforationandmyocardialpenetrationcausedbyswallowingofaforeignbodyleadingtoamisdiagnosisofacutecoronarysyndromeacasereport
AT ibrahimnacak esophagusperforationandmyocardialpenetrationcausedbyswallowingofaforeignbodyleadingtoamisdiagnosisofacutecoronarysyndromeacasereport
AT hasanbakir esophagusperforationandmyocardialpenetrationcausedbyswallowingofaforeignbodyleadingtoamisdiagnosisofacutecoronarysyndromeacasereport