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Updated: Jun 22, 2026

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Acute ruptured appendicitis and peritonitis with pseudomyocardial infarction
Wen-I Liao1, Shih-Hung Tsai, Shi-Jye Chu
1Department of Emergency Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan.
Abstract:
Acute abdominal conditions unexpectedly present with electrocardiographic changes. However, the presence of electrocardiographic changes and misleading clinical manifestations may obscure true etiology and delay surgical interventions. We present a patient who developed ruptured appendicitis with peritonitis manifested as acute inferior wall myocardial infarction-like electrocardiographic changes. A thorough physical examination and early echocardiographic evaluation helped to differentiate this pseudomyocardial infarction. A 64-multidetector-row computed tomography of the abdomen showed ruptured retrocecal appendicitis, and emergent appendectomy was done. Normalization of ST segments was observed after surgery.
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