Gastric perforation secondary to incarcerated hiatus hernia: an important differential in the diagnosis of central crushing chest pain.


Gastric perforation in association with incarceration of a hiatus hernia rarely features on a list of differential diagnoses of acute chest pain. A patient presented to the emergency department with acute chest pain characteristic of myocardial ischaemia. Several risk factors for ischaemic heart disease (IHD) were present. Investigations revealed normal… (More)


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