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. 2015:2015:739147.
doi: 10.1155/2015/739147. Epub 2015 Mar 8.

Small Bowel Obstruction Mimicking Acute ST-Elevation Myocardial Infarction

Kunal Patel  1 , Nai-Lun Chang  1 , Oleg Shulik  1 , Joseph DePasquale  1 , Fayez Shamoon  1
Affiliations

Small Bowel Obstruction Mimicking Acute ST-Elevation Myocardial Infarction

Kunal Patel et al. Case Rep Surg. 2015.

Abstract

We present a case of a 42-year-old female who presented to our institution with a small bowel obstruction and had emergent surgical decompression. Thirteen days postoperatively, the patient became tachycardic and had worsening epigastric pain. Electrocardiogram showed significant ST-segment elevations in leads II, III, aVF, and V3-V6, suggesting the possibility of acute inferolateral myocardial infarction. Subsequent workup revealed the cause of the ST-elevations to be due to recurrent small bowel obstruction. Although intra-abdominal causes of ST-elevation have been reported, our case may be the first to be associated with small bowel obstruction.

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