Xiphodynia Mimicking Acute Coronary Syndrome

DOI 機関リポジトリ HANDLE PubMed 参考文献9件 オープンアクセス
  • Tanaka Yoshihiro
    Division of Cardiovascular Medicine, Kanazawa University Graduate School of Medicine, Japan
  • Sakata Kenji
    Division of Cardiovascular Medicine, Kanazawa University Graduate School of Medicine, Japan
  • Waseda Yohei
    Division of Gastroenterology, Kanazawa University Graduate School of Medicine, Japan
  • Fujimura Takashi
    Division of Gastroenterologic Surgery, Kanazawa University Graduate School of Medicine, Japan
  • Yamada Keisuke
    Division of Anesthesia, Kanazawa University Graduate School of Medicine, Japan
  • Oyama Takeru
    Division of Molecular and Cellular Pathology, Kanazawa University Graduate School of Medicine, Japan
  • Kawashiri Masa-aki
    Division of Cardiovascular Medicine, Kanazawa University Graduate School of Medicine, Japan
  • Yamagishi Masakazu
    Division of Cardiovascular Medicine, Kanazawa University Graduate School of Medicine, Japan

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抄録

A 79-year-old man with diabetes and partial gastrectomy visited our hospital due to gradually worsening epigastric pain on exertion. Unstable angina was suspected and coronary angiography was performed, which revealed severe stenosis of the left ascending artery. Despite successful intervention, the pain persisted. A careful physical examination finally revealed the point of tenderness on the xiphoid process, and the patient was diagnosed with xiphodynia. The severe epigastric pain resolved immediately after xiphoidectomy. This case demonstrates that symptoms of xiphodynia may mimic those of various types of disorders, such as angina, and that careful palpation is warranted during routine physical examinations.<br>

収録刊行物

  • Internal Medicine

    Internal Medicine 54 (12), 1563-1566, 2015

    一般社団法人 日本内科学会

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