Key result
ECMO enables recovery in a young woman with severe myocarditis mimicking acute cholecystitis.
Why the study?
Myocarditis can present with varied symptoms and have a fatal prognosis, making early diagnosis and treatment important for saving patients' lives.
Case Report (n=1)
No
Myocarditis can present with atypical symptoms mimicking acute cholecystitis, and early recognition with mechanical circulatory support like ECMO can be life-saving in cases of cardiogenic shock.
May prompt myocarditis consideration in abdominal pain with shock; single case leaves open ECMO role in fulminant mimics.
Myocarditis can present with a variety of symptoms, including chest pain, heart failure, cardiogenic shock, and fatal arrhythmia.The prognosis can be fatal; therefore, early diagnosis and treatment are important for saving patients' lives.Herein, we report the case of a 26-year-old woman who visited a hospital with complaints of the Murphy's sign, nausea, and vomiting.She was diagnosed with acute cholecystitis based on radiological examination and subsequently transferred to the emergency room of our hospital due to shock during hospitalization.Upon examination at our hospital, the patient had no symptoms suggestive of myocarditis but was still diagnosed with the condition based on elevated serum cardiac enzymes and echocardiography and magnetic resonance imaging findings.Despite the use of vasopressors and inotropic agents in the intensive care unit, shock worsened.After extracorporeal membrane oxygenation, the patient improved and was discharged without complications after 32 days of hospitalization.
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Jeong et al. (2023) conducted a case report in Myocarditis (n=1). Extracorporeal membrane oxygenation (ECMO) was evaluated on Clinical recovery. A 26-year-old woman presenting with symptoms mimicking acute cholecystitis was diagnosed with severe myocarditis and successfully recovered after 8 days of extracorporeal membrane oxygenation.
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