Acute chest pain in a patient with a non-strangulated hiatal hernia

Publication date: Available online 29 July 2015 Source:Journal of Acute Disease Author(s): Alexander John Scumpia, Megan Elizabeth Dekok, Daniel Michael Aronovich, Gurpaul Bajwa, Randy Barros, Randy Katz, Jordan Ditchek Acute chest pain resulting in spontaneous idiopathic hemomediastinum is a rare, potentially life-threatening occurrence. Acute chest pain is a common chief complaint of patients, accounting for 2.4%-6% of adult emergency room visits. The clinician’s differential diagnoses for acute chest pain rarely include complications of hiatal hernias. An 83-year-old male presented with acute chest pain and was emergently diagnosed with hemomediastinum secondary to spontaneous gastric mesenteric vessel rupture due to a non-strangulated hiatal hernia after physical exertion.
Source: Journal of Acute Disease - Category: Emergency Medicine Source Type: research