{"title":"Perforation of the esophagus: an overlooked cause of chest pain as a complication of esophageal foreign bodies.","authors":"Chengfan Qin, Yunmei Yang, Yuanqiang Lu","doi":"10.1631/jzus.B2300026","DOIUrl":null,"url":null,"abstract":"<p><p>Chest pain is one of the most common complaints in the emergency department. Diseases of the heart, aorta, lungs, esophagus, stomach, mediastinum, pleura, and abdominal viscera can all cause chest discomfort (Gulati et al., 2021; Jiao et al., 2021; Lu et al., 2022). Clinicians in the emergency department are expected to immediately recognize life-threatening chest pain (Jiao et al., 2021). Delayed diagnosis further increases the risk of complications and mortality (Liu et al., 2021). In this case, we present an elderly Chinese female who had a history of myocardial infarction two years previously, with chest pain eventually found to be caused by ingestion of a duck bone.</p>","PeriodicalId":17601,"journal":{"name":"Journal of Zhejiang University. Science. B","volume":"24 5","pages":"455-457"},"PeriodicalIF":0.0000,"publicationDate":"2023-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10186143/pdf/JZhejiangUnivSciB-24-5-455.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Zhejiang University. Science. B","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1631/jzus.B2300026","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Chest pain is one of the most common complaints in the emergency department. Diseases of the heart, aorta, lungs, esophagus, stomach, mediastinum, pleura, and abdominal viscera can all cause chest discomfort (Gulati et al., 2021; Jiao et al., 2021; Lu et al., 2022). Clinicians in the emergency department are expected to immediately recognize life-threatening chest pain (Jiao et al., 2021). Delayed diagnosis further increases the risk of complications and mortality (Liu et al., 2021). In this case, we present an elderly Chinese female who had a history of myocardial infarction two years previously, with chest pain eventually found to be caused by ingestion of a duck bone.
胸痛是急诊室最常见的主诉之一。心脏、主动脉、肺、食道、胃、纵隔、胸膜和腹部脏器的疾病都可引起胸部不适(Gulati等,2021;Jiao等,2021;Lu et al., 2022)。急诊科的临床医生应立即识别危及生命的胸痛(Jiao等,2021)。延迟诊断进一步增加了并发症和死亡率的风险(Liu et al., 2021)。在本病例中,我们报告了一位两年前有心肌梗死史的中国老年女性,胸痛最终被发现是由摄入鸭骨引起的。