Key result
Contrast CTA reveals upside-down stomach compressing the left ventricle as a rare cause of chest pain.
Case Report (n=1)
An upside-down stomach is a rare cause of excruciating chest pain that can mimic acute coronary syndrome and can be diagnosed using CT angiography.
Case report of postprandial chest pain; leaves open whether CT angiography changes management in patients with prior PE.
A 62 year-old male presented to the chest pain unit with chest pain and nausea, reporting that the symptoms occurred one hour after dinner.His medical history included a foudroyant event of pulmonary embolism with embolectomy in 2012.Due to clinical deterioration and the history of pulmonary embolism, we decided to perform a contrast computed tomography angiography (CT).We could rule out aortic dissection and pulmonary embolism, However, CT
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Hobohm et al. (2016) conducted a case report in Chest pain mimicking acute coronary syndrome (n=1). Upside-down stomach (UDS) was evaluated. Contrast computed tomography angiography revealed a mixed axial para-oesophageal upside-down stomach compressing the left ventricle as a rare cause of excruciating chest pain.
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