The Medicine Forum

Article Title

Chest Pain as a Presenting Symptom for Gastric Phytobezoar

Authors

Ankitkumar K. Patel, MD, MPH, Thomas Jefferson University HospitalFollow
Sandarsh Kancherla, MD, Thomas Jefferson University Hospital
Darren Seril, MD, Thomas Jefferson University Hospital

Abstract

Introduction

Chest pain is a common chief complaint of patient presentation to the emergency room. It also presents itself as one of the most challenging symptoms for clinicians to manage. The differential diagnosis for chest pain involves a multitude of organ systems. Failure to recognize potentially serious life-threatening causes such as acute ischemic heart disease, aortic dissection, tension pneumothorax, or pulmonary embolism can lead to serious morbidity and mortality. At the same time, overly conservative management of low-risk patients leads to unnecessary hospital admissions, studies and procedures.1 The following case illustrates the need to broaden the differential diagnosis for chest pain once life-threatening causes have been ruled out.

Recommended Citation

Patel, MD, MPH, Ankitkumar K.; Kancherla, MD, Sandarsh; and Seril, MD, Darren (2007) "Chest Pain as a Presenting Symptom for Gastric Phytobezoar," The Medicine Forum: Vol. 9, Article 21.
DOI: https://doi.org/10.29046/TMF.009.1.020
Available at: https://jdc.jefferson.edu/tmf/vol9/iss1/21