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Small Bowel Obstruction Mimicking Acute Inferior ST-Elevation Myocardial Infarction

Published:December 11, 2020DOI:https://doi.org/10.1016/j.amjmed.2020.11.014
      A 50-year-old Caucasian man was transferred emergently from an outlying institution to our hospital with concern for acute ST-elevation myocardial infarction (STEMI). The patient presented to our hospital with pain in the left lower part of his chest, which started a few hours prior to transfer. Two days prior to presentation, he underwent ventral hernia repair, hiatal hernia repair, and extensive lysis of adhesions. He reported having only one bowel movement in the 2 days following surgery. He denied any previous cardiac history. He denied any tobacco, alcohol, or illicit drug use.
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