PMID- 35685266 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220716 IS - 1878-5409 (Electronic) IS - 1878-5409 (Linking) VI - 25 IP - 6 DP - 2022 Jun TI - Ventricular septal rupture with right hypochondrial pain mimicking acute cholecystitis. PG - 392-395 LID - 10.1016/j.jccase.2022.01.002 [doi] AB - A 67-year-old man was admitted for anterior acute ST elevation myocardial infarction (STEMI) management. He developed a severe acute right subcostal pain with normal cardiac tests. On day 5 of hospitalization, cholecystectomy was performed for suspected acute cholecystitis, but the pain intensified with hemodynamical instability. Transthoracic echocardiography revealed ventricular septal rupture (VSR). After emergency operation was performed, the pain diminished with improved hemodynamics. Right subcostal pain associated with heart disease can be referred from STEMI or liver congestion with right heart failure. VSR and right heart failure may be considered as a cause of right subcostal pain of uncertain etiology. . CI - (c) 2022 Japanese College of Cardiology. Published by Elsevier Ltd. FAU - Urabe, Daichi AU - Urabe D AD - Department of Anesthesia and Critical Care, Kobe City Medical Center General Hospital, Kobe, Japan. FAU - Kawakami, Daisuke AU - Kawakami D AD - Department of Anesthesia and Critical Care, Kobe City Medical Center General Hospital, Kobe, Japan. FAU - Nishigaki, Haruna AU - Nishigaki H AD - Department of Anesthesia and Critical Care, Kobe City Medical Center General Hospital, Kobe, Japan. FAU - Miyoshi, Yusuke AU - Miyoshi Y AD - Department of Anesthesia and Critical Care, Kobe City Medical Center General Hospital, Kobe, Japan. FAU - Ito, Jiro AU - Ito J AD - Department of Anesthesia and Critical Care, Kobe City Medical Center General Hospital, Kobe, Japan. FAU - Ueta, Hiroshi AU - Ueta H AD - Department of Anesthesia and Critical Care, Kobe City Medical Center General Hospital, Kobe, Japan. FAU - Shimozono, Takahiro AU - Shimozono T AD - Department of Anesthesia and Critical Care, Kobe City Medical Center General Hospital, Kobe, Japan. FAU - Mima, Hiroyuki AU - Mima H AD - Department of Anesthesia and Critical Care, Kobe City Medical Center General Hospital, Kobe, Japan. LA - eng PT - Case Reports DEP - 20220131 PL - Japan TA - J Cardiol Cases JT - Journal of cardiology cases JID - 101549579 PMC - PMC9169010 OTO - NOTNLM OT - Diagnostic error OT - Intensive care medicine OT - ST elevation myocardial infarction OT - Ventricular septal rupture COIS- Nothing EDAT- 2022/06/11 06:00 MHDA- 2022/06/11 06:01 PMCR- 2022/01/31 CRDT- 2022/06/10 02:27 PHST- 2021/09/20 00:00 [received] PHST- 2021/12/17 00:00 [revised] PHST- 2022/01/07 00:00 [accepted] PHST- 2022/06/10 02:27 [entrez] PHST- 2022/06/11 06:00 [pubmed] PHST- 2022/06/11 06:01 [medline] PHST- 2022/01/31 00:00 [pmc-release] AID - S1878-5409(22)00004-4 [pii] AID - 10.1016/j.jccase.2022.01.002 [doi] PST - epublish SO - J Cardiol Cases. 2022 Jan 31;25(6):392-395. doi: 10.1016/j.jccase.2022.01.002. eCollection 2022 Jun.