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Ann R Coll Surg Engl · May 2012
Case ReportsA perforated duodenal ulcer presenting as inferior lead ST elevation following amphetamine use.
- H G Jones, L Hopkins, A Clayton, and E McKain.
- Royal Gwent Hospital, Newport, UK. huwgjones@hotmail.com
- Ann R Coll Surg Engl. 2012 May 1;94(4):e144-5.
AbstractTypical symptoms of duodenal ulcers include epigastric pain, nausea, vomiting, chest pain and shortness of breath. Here we present the case of a 39-year-old man who had a sudden onset of chest and epigastric pain following the use of recreational amphetamines. There were ST changes in the inferior leads of his electrocardiogram, indicating the possibility of a myocardial infarction. Following double contrast computed tomography of the abdomen and an urgent laparotomy, a diagnosis of a perforated duodenal ulcer was made. We discuss the aetiologies, presentation, investigation and treatment of the disorder, and make recommendations on the management.
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