Internal hernia presenting as pseudomyocardial infarction

We report the case of a 54-year-old manwith an internal hernia presenting as myocardial infarction. The patient presented at the emergency department with acute epigastric pain. In the electrocardiography at admission, there were ST elevations in the leads V-2 and V-3. The patient had a medical history of an anterior wall infarction 18 years earlier. Because of the previous myocardial infarction, the diagnosis of another ST-elevated myocardial infarction was initially made. However, emergency coronary angiography ruled out myocardial infarction. As the abdominal pain persisted, a computed tomography were performed, which showed a bowel obstruction. In a subsequent operation, an incarcerated internal hernia has been found. Very few cases of pseudomyocardial infarction with abdominal pathologies have been reported. A pseudomyocardial infarction in association with an internal hernia has not yet been reported.