Volume 25, Issue 118, December 2021

Acute abdomen: atypical presentation and outcome: A case report

Ahmed M Ramzy^1,2, Abdulmohsen A Altwaijri^3♦, Omar T Ahmed³, Abdelrahman G Hassan³

¹Associate Professor of Cardiology, Department of Cardiology, Benha University, Egypt
²Consultant of Interventional Cardiology, Department of Cardiology, Qassim National Hospital, Qassim, Saudi Arabia
³Medical Intern, College of Medicine, Sulaiman Alrajhi University, Qassim, Saudi Arabia

^♦Corresponding author
Medical Intern, College of Medicine, Sulaiman Alrajhi University, Qassim, Saudi Arabia

ABSTRACT

An unusual presentation is usually problematic in terms of diagnosis and management, in this case report we will show one of these presentations and how to identify the correct diagnosis to help avoid the complications of any delay. The patient presented with left upper abdominal pain, the abdomen was soft and lax but there was tenderness at the left upper quadrant, other systems exams were unremarkable. Mesenteric ischemia was the main suspected diagnosis, but a late ECG test was done and revealed anterolateral myocardial infarction. Patient immediately transferred to the catheter lab and PCI was done. The patient then had syncopal attack and diagnosed as TIA and accordingly an ECHO was ordered and showed mural thrombus. This case shows the necessity of an ECG test in patients presenting with abdominal pain without any delays.

Keywords: acute abdomen, mesenteric ischemia

Medical Science, 2021, 25(118), 3202-3205

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