case_images: PMC11789888_01
case_images: Abdominal CT findings. Red circle: intra-abdominal free gas. Red rectangle: small intestine overflowing the abdominal wall.
case_images: medi-104-e41454-g001.jpg
case_images: PMC11789888_01_medi-104-e41454-g001.jpg
case_images: F1
case_images: Abdominal CT revealed multiple intestinal changes, peritoneal effusion, hematogenous accumulation, some free gas in the peritoneal cavity, and possible intestinal rupture (Fig. 1).
case_images: Evolution of the ECG. ECG = electrocardiogram.
case_images: medi-104-e41454-g002.jpg
case_images: PMC11789888_01_medi-104-e41454-g002.jpg
case_images: F2
case_images: The ECG suggested sinus tachycardia and acute extensive front-wall MI (Fig. 2). Cardiac ultrasound showed nonobstructive hypertrophic myocardial disease, increased left room, minor valve reflux, and left heart relaxation function loss. The ECG (Fig. 2) revealed an old anterior MI, while a cardiac ultrasound showed abnormal ventricular wall motion and a left ventricular ejection fraction of 64%.
case_images: Coronary CTA. The red arrow points to an occlusion of the middle portion of the anterior descending coronary artery. CTA = computed tomography angiography.
case_images: medi-104-e41454-g003.jpg
case_images: PMC11789888_01_medi-104-e41454-g003.jpg
case_images: F3
case_images: The patient then underwent a cardiac ultrasound, ECG, and coronary CTA (Fig. 3).
case_images: Timeline. BNP = brain natriuretic peptide, BUN = blood urea nitrogen, CK = creatine kinase, CK-MB = creatine kinase-muscle/brain, CRP = C-reactive protein, HGB = hemoglobin, PLT = platelets, WBC = white blood cell.
case_images: medi-104-e41454-g004.jpg
case_images: PMC11789888_01_medi-104-e41454-g004.jpg
case_images: F4
case_images: This paper will show the development through a timeline (Fig. 4) so that the reader can more clearly understand the chronology of the relevant events and their interrelationships.