Surgical removal of an ingested fish bone that perforated the esophagus and penetrated the pericardium resolved chest pain and normalized ECG findings in a patient initially suspected of having an acute myocardial infarction.
Case Report (n=1)
No
Esophageal perforation from a foreign body can mimic acute myocardial infarction by causing pericardial injury, widespread ST-segment elevation, and elevated troponin levels.
This article describes a case involving a patient who presented with chest pain persisting for three days, elevated levels of cardiac troponin, and widespread ST segment elevation in the ECG leads. Subsequent diagnosis revealed esophageal perforation resulting from the accidental ingestion of a fish bone, leading to pericardial effusion and pneumopericardium. This case highlights the importance of healthcare professionals conducting a comprehensive investigation of the patient’s medical history when confronted with widespread ST segment elevation and elevated cardiac troponin levels to avoid misdiagnosis and mitigate potential serious consequences.
Wang et al. (Fri,) conducted a case report in Esophageal perforation with pericardial penetration (n=1). Thoracoscopy and open thoracotomy was evaluated on Resolution of symptoms and ECG abnormalities. Surgical removal of an ingested fish bone that perforated the esophagus and penetrated the pericardium resolved chest pain and normalized ECG findings in a patient initially suspected of having an acute myocardial infarction.