Reversible Inferolateral ST-Segment Elevation Associated with Small Bowel Obstruction
ST-segment elevation is an important and alarming electrocardiographic sign that necessitates immediate attention but does not always indicate that the primary pathology is cardiac in origin. It needs to be interpreted in the clinical context as several pathological conditions involving especially g...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2017/5982910 |
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| author | Ankit Upadhyay Sudheer Chauhan Umair Jangda Vipul Bodar Ahmed Al-Chalabi |
| author_facet | Ankit Upadhyay Sudheer Chauhan Umair Jangda Vipul Bodar Ahmed Al-Chalabi |
| author_sort | Ankit Upadhyay |
| collection | DOAJ |
| description | ST-segment elevation is an important and alarming electrocardiographic sign that necessitates immediate attention but does not always indicate that the primary pathology is cardiac in origin. It needs to be interpreted in the clinical context as several pathological conditions involving especially gastrointestinal tract may lead to delayed diagnosis and treatment as well as complications from invasive unnecessary interventions. We present two patients, a 64-year-old male and a 71-year-old female, who were admitted to the emergency room of a community-based hospital with similar complaints of worsening epigastric abdominal pain and were diagnosed later with small bowel obstruction. Both patients reported a history of abdominal surgeries in the past. Also in both patients the ECG showed signs of ST-segment elevation in inferior and lateral leads. These ECG changes were related to the intra-abdominal pathology as no evidence of contributing coronary artery disease could be found. In addition, prompt resolution of ST-segment elevation was seen after surgical treatment. The pathophysiological etiology of electrocardiographic changes accompanying small bowel obstruction is yet to be explored. |
| format | Article |
| id | doaj-art-27b0d53a6d054f5394cee18f88b1ff06 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-27b0d53a6d054f5394cee18f88b1ff062025-02-03T06:06:56ZengWileyCase Reports in Medicine1687-96271687-96352017-01-01201710.1155/2017/59829105982910Reversible Inferolateral ST-Segment Elevation Associated with Small Bowel ObstructionAnkit Upadhyay0Sudheer Chauhan1Umair Jangda2Vipul Bodar3Ahmed Al-Chalabi4Department of Medicine, Jamaica Hospital Medical Center, Jamaica, NY 11418, USADepartment of Medicine, Jamaica Hospital Medical Center, Jamaica, NY 11418, USADepartment of Medicine, Jamaica Hospital Medical Center, Jamaica, NY 11418, USADepartment of Medicine, Jamaica Hospital Medical Center, Jamaica, NY 11418, USADepartment of Medicine, Jamaica Hospital Medical Center, Jamaica, NY 11418, USAST-segment elevation is an important and alarming electrocardiographic sign that necessitates immediate attention but does not always indicate that the primary pathology is cardiac in origin. It needs to be interpreted in the clinical context as several pathological conditions involving especially gastrointestinal tract may lead to delayed diagnosis and treatment as well as complications from invasive unnecessary interventions. We present two patients, a 64-year-old male and a 71-year-old female, who were admitted to the emergency room of a community-based hospital with similar complaints of worsening epigastric abdominal pain and were diagnosed later with small bowel obstruction. Both patients reported a history of abdominal surgeries in the past. Also in both patients the ECG showed signs of ST-segment elevation in inferior and lateral leads. These ECG changes were related to the intra-abdominal pathology as no evidence of contributing coronary artery disease could be found. In addition, prompt resolution of ST-segment elevation was seen after surgical treatment. The pathophysiological etiology of electrocardiographic changes accompanying small bowel obstruction is yet to be explored.http://dx.doi.org/10.1155/2017/5982910 |
| spellingShingle | Ankit Upadhyay Sudheer Chauhan Umair Jangda Vipul Bodar Ahmed Al-Chalabi Reversible Inferolateral ST-Segment Elevation Associated with Small Bowel Obstruction Case Reports in Medicine |
| title | Reversible Inferolateral ST-Segment Elevation Associated with Small Bowel Obstruction |
| title_full | Reversible Inferolateral ST-Segment Elevation Associated with Small Bowel Obstruction |
| title_fullStr | Reversible Inferolateral ST-Segment Elevation Associated with Small Bowel Obstruction |
| title_full_unstemmed | Reversible Inferolateral ST-Segment Elevation Associated with Small Bowel Obstruction |
| title_short | Reversible Inferolateral ST-Segment Elevation Associated with Small Bowel Obstruction |
| title_sort | reversible inferolateral st segment elevation associated with small bowel obstruction |
| url | http://dx.doi.org/10.1155/2017/5982910 |
| work_keys_str_mv | AT ankitupadhyay reversibleinferolateralstsegmentelevationassociatedwithsmallbowelobstruction AT sudheerchauhan reversibleinferolateralstsegmentelevationassociatedwithsmallbowelobstruction AT umairjangda reversibleinferolateralstsegmentelevationassociatedwithsmallbowelobstruction AT vipulbodar reversibleinferolateralstsegmentelevationassociatedwithsmallbowelobstruction AT ahmedalchalabi reversibleinferolateralstsegmentelevationassociatedwithsmallbowelobstruction |