PMID- 27068730
OWN - NLM
STAT- MEDLINE
DCOM- 20170104
LR  - 20181113
IS  - 1757-790X (Electronic)
IS  - 1757-790X (Linking)
VI  - 2016
DP  - 2016 Apr 11
TI  - Oesophageal rupture masquerading as STEMI.
PG  - 10.1136/bcr-2016-214906
LID - 10.1136/bcr-2016-214906 [doi]
LID - bcr2016214906
AB  - A 67-year-old man presented to the emergency department, with acute onset of 
      chest pain. Based on ECG changes suggestive of ST elevation myocardial infarction 
      (STEMI), he was taken emergently to the cardiac catheterisation laboratory for 
      coronary angiography. There he was found to have only non-obstructive coronary 
      disease. Subsequent physical examination and review of his chest radiograph 
      revealed subcutaneous emphysema, and CT scan revealed a distal oesophageal 
      rupture and pneumomediastinum. After stabilisation in the intensive care unit 
      (ICU), he was taken to the operating room for thoracotomy, chest tube placement 
      and stenting of his oesophagus. He survived the incident and, after several weeks 
      of ICU stay, recovered to a large extent. His case highlights the importance of 
      considering oesophageal rupture in the differential diagnosis for acute onset of 
      chest pain.
CI  - 2016 BMJ Publishing Group Ltd.
FAU - Skaug, Brian
AU  - Skaug B
AD  - University of Texas Southwestern Medical Center at Dallas, Dallas, Texas, USA.
FAU - Taylor, Kenneth R
AU  - Taylor KR
AD  - University of Texas Southwestern Medical Center at Dallas, Dallas, Texas, USA.
FAU - Chandrasekaran, Somya
AU  - Chandrasekaran S
AD  - Department of Cardiology, Dallas VA Medical Center, Dallas, Texas, USA.
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20160411
PL  - England
TA  - BMJ Case Rep
JT  - BMJ case reports
JID - 101526291
SB  - IM
MH  - Aged
MH  - Chest Pain/*diagnosis/etiology
MH  - Diagnosis, Differential
MH  - Esophageal Diseases/complications/*diagnosis
MH  - Humans
MH  - Male
MH  - Myocardial Infarction/*diagnosis
MH  - Rupture, Spontaneous/complications/diagnosis
PMC - PMC4840706
EDAT- 2016/04/14 06:00
MHDA- 2017/01/05 06:00
PMCR- 2018/04/11
CRDT- 2016/04/13 06:00
PHST- 2016/04/13 06:00 [entrez]
PHST- 2016/04/14 06:00 [pubmed]
PHST- 2017/01/05 06:00 [medline]
PHST- 2018/04/11 00:00 [pmc-release]
AID - bcr-2016-214906 [pii]
AID - 10.1136/bcr-2016-214906 [doi]
PST - epublish
SO  - BMJ Case Rep. 2016 Apr 11;2016:10.1136/bcr-2016-214906. doi: 
      10.1136/bcr-2016-214906.