The differential for chest pain: when the most common cause is not the answer-a case of de novo esophageal bezoar

Abstract Background Having a broad differential and knowing how to manage the different possibilities in a patient with chest pain is important. Esophageal bezoars are rare entities and are even less common in patients without any recent hospitalizations, known achalasia, or nasogastric tubes. Despi...

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Autores principales:	Kevin Climaco, Daniel Roubik, Robert Gorrell
Formato:	article
Lenguaje:	EN
Publicado:	SpringerOpen 2021
Materias:	Esophageal Bezoar Chest Pain Achalasia Perforation Surgery RD1-811
Acceso en línea:	https://doaj.org/article/52788d4bb3934af88164cf803f51d0a5
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spelling	oai:doaj.org-article:52788d4bb3934af88164cf803f51d0a52021-11-21T12:31:53ZThe differential for chest pain: when the most common cause is not the answer-a case of de novo esophageal bezoar10.1186/s40792-021-01311-72198-7793https://doaj.org/article/52788d4bb3934af88164cf803f51d0a52021-11-01T00:00:00Zhttps://doi.org/10.1186/s40792-021-01311-7https://doaj.org/toc/2198-7793Abstract Background Having a broad differential and knowing how to manage the different possibilities in a patient with chest pain is important. Esophageal bezoars are rare entities and are even less common in patients without any recent hospitalizations, known achalasia, or nasogastric tubes. Despite their rarity, having it in one’s differential, and knowing how to manage it is important. Case presentation This case presents a patient with mega-esophagus secondary to an esophageal bezoar; and runs through the gamut of morbid chest pathophysiology, its differential, work-up, and management. The case is interesting in that the patient’s initial presentation brings to mind a bevy of feared chest issues to include myocardial infarction, dissection, pulmonary embolus, achalasia, and perforation. Conclusion This clinical case highlights more than just the rare diagnosis of esophageal bezoar. It also goes through initial resuscitation, key concerns, “can’t miss diagnoses”, and finally discusses the feared end state of an esophageal perforation.Kevin ClimacoDaniel RoubikRobert GorrellSpringerOpenarticleEsophagealBezoarChestPainAchalasiaPerforationSurgeryRD1-811ENSurgical Case Reports, Vol 7, Iss 1, Pp 1-6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Esophageal Bezoar Chest Pain Achalasia Perforation Surgery RD1-811
spellingShingle	Esophageal Bezoar Chest Pain Achalasia Perforation Surgery RD1-811 Kevin Climaco Daniel Roubik Robert Gorrell The differential for chest pain: when the most common cause is not the answer-a case of de novo esophageal bezoar
description	Abstract Background Having a broad differential and knowing how to manage the different possibilities in a patient with chest pain is important. Esophageal bezoars are rare entities and are even less common in patients without any recent hospitalizations, known achalasia, or nasogastric tubes. Despite their rarity, having it in one’s differential, and knowing how to manage it is important. Case presentation This case presents a patient with mega-esophagus secondary to an esophageal bezoar; and runs through the gamut of morbid chest pathophysiology, its differential, work-up, and management. The case is interesting in that the patient’s initial presentation brings to mind a bevy of feared chest issues to include myocardial infarction, dissection, pulmonary embolus, achalasia, and perforation. Conclusion This clinical case highlights more than just the rare diagnosis of esophageal bezoar. It also goes through initial resuscitation, key concerns, “can’t miss diagnoses”, and finally discusses the feared end state of an esophageal perforation.
format	article
author	Kevin Climaco Daniel Roubik Robert Gorrell
author_facet	Kevin Climaco Daniel Roubik Robert Gorrell
author_sort	Kevin Climaco
title	The differential for chest pain: when the most common cause is not the answer-a case of de novo esophageal bezoar
title_short	The differential for chest pain: when the most common cause is not the answer-a case of de novo esophageal bezoar
title_full	The differential for chest pain: when the most common cause is not the answer-a case of de novo esophageal bezoar
title_fullStr	The differential for chest pain: when the most common cause is not the answer-a case of de novo esophageal bezoar
title_full_unstemmed	The differential for chest pain: when the most common cause is not the answer-a case of de novo esophageal bezoar
title_sort	differential for chest pain: when the most common cause is not the answer-a case of de novo esophageal bezoar
publisher	SpringerOpen
publishDate	2021
url	https://doaj.org/article/52788d4bb3934af88164cf803f51d0a5
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The differential for chest pain: when the most common cause is not the answer-a case of de novo esophageal bezoar

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