Acute chest pain is one of the most common causes of emergency department (ED) visits. In the United States, more than 5 million people attend the ED with chest pain each year, and more than 3 million of these patients are hospitalized because of this condition at a cost of more than 6 billion dollars1–3. Early recognition of clinically life-threatening conditions, such as pulmonary embolism, a...

A 55 year old female, presented with atypical chest pain of 1 hour duration. On examination her vital parameters were normal and there was no gross cardiovascular abnormality. Electrocardiogram revealed slight ST depression in infero-lateral leads. On stress test there was slight increase in ST depressions. Chest skiagram and transthoracic echocardiogram were normal. On coronary angiography, le...

A 57 year old, diabetic female presented in emergency department with atypical chest pain. Her physical examination was unremarkable. Routine blood and urine biochemistry were within normal limits. Electrocardiogram showed left bundle branch block, with nonspecific ST-T changes. Chest X-ray and 2D-echocardiogram revealed no abnormality. Coronary angiography demonstrated existence of only left a...

BACKGROUND Recurrent Functional Chest pain (FCP) with normal coronary anatomy and no detectable gastroenterological and respiratory causes is a common problem that sometimes leads to excess use of medical care. OBJECTIVE The purpose of this meta-analysis is to investigate the efficacy of antidepressant treatments for FCP. SETTINGS MEDLINE, PsycINFO, Scopus, and the Cochrane Central Register...

Acute cholangitis is a well-known biliary tree pathology most often encountered in patients with gallstone disease. When left untreated, acute can lead to severe complications, including death. Therefore, identifying and properly treating crucial avoiding such complications. This paper describes an 84-year-old female patient who presented atypical symptoms of chest pain cough. The was successfu...

Myocardial bridge is a benign congenital anomaly in which a segment of major epicardial coronary arteries descends into the myocardium for a variable distance. Myocardial bridge is most often single and located in the middle part of the left anterior descending artery. The presence of more than one myocardial bridge in coronary arteries is very rare. We present a patient with more than one myoc...

Spontaneous oesophageal rupture after swallowing a bolus of food is a very rare condition. In resource-limited settings, it is very challenging to diagnose this condition especially when its presentation is atypical. Its prognosis is very poor when diagnosis is delayed due to risk of mediastinitis. We report a case of 37-year-old man who was admitted to our hospital complaining of sudden onset ...

A rare case of benign asbestos pleural effusion associated with aspergilloma is reported. A chest radiograph of a 75-year-old Japanese man who was admitted with right chest pain showed a right pleural effusion and nodular shadows in the right apex and left middle lung field. Thoracocentesis revealed an exudate with atypical mesothelial cells. An open lung biopsy showed aspergilloma in the right...

Thoracic aortic dissection is a dangerous disease. It usually presents as severe chest or back pain. Symptoms resulting from aortic branch involvement may also be involved. Sometimes, it presents with atypical symptoms. Here, we report a patient who came to the emergency department (ED) because of acute onset of right upper limb weakness and numbness. Brain computed tomography (CT) was performe...