Acute myocardial infarction presenting as flank pain and tenderness: report of a case

Studies have demonstrated that 4% to 10% of patients with chest pain and acute myocardial infarction (AMI) are discharged from the emergency department. The patient with an atypical presentation of AMI is difficult to diagnose and has been demonstrated to have an associated increased risk of morbidity and mortality. A case is reported of a patient with AMI presenting to the emergency department with flank pain and tenderness, mimicking acute renal colic.