A Case of Traumatic Acute Pericarditis Mimicking Acute Myocardial Infarction, Caused by Swallowing Fishhook.
10.4070/kcj.2003.33.9.821
- Author:
Young Bae SEO
1
;
Dong Heon YANG
;
Eui Ryong CHEONG
;
Dong Hoon KWACK
;
Jung Ho HEO
;
Man Ki PARK
;
Hun Sik PARK
;
Yong Geun JO
;
Shung Chull CHAE
;
Jae Eun JUN
;
Wee Hyun PARK
Author Information
1. Division of Cardiology, Department of Internal Medicine, School of Medicine, Kyungpook National University, Daegu, Korea. hspark@knu.ac.kr
- Publication Type:Case Report
- Keywords:
Pericarditis;
Chest pain;
ST segment elevation
- MeSH:
Chest Pain;
Coronary Angiography;
Deglutition*;
Drainage;
Esophagoscopy;
Humans;
Mediastinitis;
Myocardial Infarction*;
Myocardial Ischemia;
Pericarditis*;
Tomography, X-Ray Computed
- From:Korean Circulation Journal
2003;33(9):821-826
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A patient, with severe chest pain and isolated ST segment elevation, was evaluated in order to differentiate ischemic heart disease, such as acute myocardial infarction. A fishhook was incidentally found during coronary angiography, chest CT and esophagoscopy. With this information, the patient was re-interviewed, and it was learned that the patient had swallowed the fishhook from cooked fish after fishing trip. The patient was diagnosed as traumatic acute pericarditis with acute mediastinitis, associated with esophageal and pericardial perforation. The patient was successfully treated by surgical treatment drainage and adequate antibiotic use. We report a case of traumatic acute pericarditis, which mimicked an acute myocardial infarction, with a review of the literature.
