Intramural Oesophageal Dissection as an Unusual Presentation of Chest Pain: A Case Report

Conclusion spontaneous IOD can occur in elderly patients who are anticoagulated. Fish oil has not been previously reported as having an association with IOD. This is the first known reported case of spontaneous IOD occurring in association with concurrent use of a bisphosphonate and fish oil. IOD is a rare disorder, and any anticoagulated patients presenting with severe chest pain may need careful investigation prior to definitive management.
Source: Annals of Medicine and Surgery - Category: Journals (General) Source Type: research