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QJM Advance Access published online on October 21, 2009
QJM, doi:10.1093/qjmed/hcp156
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© The Author 2009. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Trifascicular block and a raised Troponin ‘T’ in acute cholecystitis

J. Seewoodhary and L. Griffin

From the School of Medicine, Diabetes & Endocrine Unit, Singleton Hospital, University of Wales Swansea, Sketty Lane, Swansea SA2 8QA, UK

Address correspondence to Dr Jason Seewoodhary, Diabetes & Endocrine Unit, Singleton Hospital, Sketty Lane, Swansea SA2 8QA, UK. email: seewoodharyj@hotmail.com

The first 10% of the full text of this article appears below.

A 76-year-old man, with an unremarkable past medical history and no cardiac risk factors, acutely developed right sided pleuritic and upper quadrant abdominal pain associated with dyspnoea. On examination, he had decreased air entry at the right base. There was localised peritonitis in the right upper quadrant and Murphy's sign was positive.

Investigations demonstrated type 1 respiratory failure and an elevated Troponin T . . . [Full Text of this Article]


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