Type 2 myocardial infarction in a patient with acute abdomen due to an incarcerated Amyand's Hernia.

Acute abdomen Amyand’s Hernia Mortality Myocardial infarction Type 2 myocardial infarction

Journal

International journal of surgery case reports
ISSN: 2210-2612
Titre abrégé: Int J Surg Case Rep
Pays: Netherlands
ID NLM: 101529872

Informations de publication

Date de publication:
2020
Historique:
received: 12 01 2020
revised: 08 03 2020
accepted: 13 03 2020
pubmed: 11 5 2020
medline: 11 5 2020
entrez: 11 5 2020
Statut: ppublish

Résumé

Type 2 myocardial infarction (MIT2) is characterized by higher mortality rates compared to conventional type 1 infarction according to the European Society of Cardiology (ESC) in 2018. The purpose of this case is to identify appropriate therapeutic measures. A case of an Amyand's Hernia that produced an MIT2 is described in this work. A 77-year-old male was admitted to our emergency department for acute abdominal pain in the right lower quadrant associated with the presence of an ipsilateral inguinal hernia with signs of peritoneal irritation, while complaining of chest pain. A positive troponin indicated the presence of myocardial infarction. A laparotomy was performed with the finding of an incarcerated right inguino-scrotal hernia that contained the gangrenous and perforated cecal appendix (Amyand hernia type 3). The treatment consisted of surgical correction of the hernia, an appendectomy, antibiotics and support in the intensive care unit with a positive outcome. The diagnosis of Amyand hernia type 3 was established intraoperatively, and by imaging, confirming the presence of an MIT2 according to the criteria of the fourth definition of ECS infarction. In the surgical environment it is strange to find patients who present with acute abdominal pain and a myocardial infarction at the same time. It is necessary for the consultant to recognize these two entities to make a correct diagnosis and provide timely treatment to reduce any possibility of patient mortality.

Sections du résumé

BACKGROUND BACKGROUND
Type 2 myocardial infarction (MIT2) is characterized by higher mortality rates compared to conventional type 1 infarction according to the European Society of Cardiology (ESC) in 2018. The purpose of this case is to identify appropriate therapeutic measures. A case of an Amyand's Hernia that produced an MIT2 is described in this work.
CASE REPORT METHODS
A 77-year-old male was admitted to our emergency department for acute abdominal pain in the right lower quadrant associated with the presence of an ipsilateral inguinal hernia with signs of peritoneal irritation, while complaining of chest pain. A positive troponin indicated the presence of myocardial infarction. A laparotomy was performed with the finding of an incarcerated right inguino-scrotal hernia that contained the gangrenous and perforated cecal appendix (Amyand hernia type 3). The treatment consisted of surgical correction of the hernia, an appendectomy, antibiotics and support in the intensive care unit with a positive outcome. The diagnosis of Amyand hernia type 3 was established intraoperatively, and by imaging, confirming the presence of an MIT2 according to the criteria of the fourth definition of ECS infarction.
CONCLUSION CONCLUSIONS
In the surgical environment it is strange to find patients who present with acute abdominal pain and a myocardial infarction at the same time. It is necessary for the consultant to recognize these two entities to make a correct diagnosis and provide timely treatment to reduce any possibility of patient mortality.

Identifiants

pubmed: 32387824
pii: S2210-2612(20)30169-3
doi: 10.1016/j.ijscr.2020.03.027
pmc: PMC7210473
pii:
doi:

Types de publication

Case Reports

Langues

eng

Pagination

28-32

Informations de copyright

Copyright © 2020 The Authors. Published by Elsevier Ltd.. All rights reserved.

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Auteurs

Paulo Cabrera (P)

Fundación Cardioinfantil, General Surgery Department, Bogota, Colombia.

Carlos Roman (C)

Fundación Cardioinfantil, General Surgery Department, Bogota, Colombia.

Silvia Barbosa (S)

Fundación Cardioinfantil, General Surgery Department, Bogota, Colombia. Electronic address: carolinabarbosa232@gmail.com.

Fabian Alvarado (F)

Fundación Cardioinfantil, General Surgery Department, Bogota, Colombia.

Esteban Diaz (E)

Fundación Cardioinfantil, General Surgery Department, Bogota, Colombia.

Mayerlin Martinez (M)

Fundación Cardioinfantil, General Surgery Department, Bogota, Colombia.

Classifications MeSH