Pasternak Andrew, Ellero JoAnn, Maxwell Stephen, Cheung Victoria
Silver Sage Center for Family Medicine, Reno, Nevada, USA.
Department of Family Medicine, University of Nevada Reno, Reno, Nevada, USA.
BMJ Case Rep. 2019 Aug 8;12(8):e230343. doi: 10.1136/bcr-2019-230343.
A runner competing in a 100 mile trail race presented with severe lower chest pain and right upper abdominal pain. His pain started immediately after he took an over the counter non steroidal anti-inflammatory pill a few hundred metres after leaving the aid station. When he took the pill, he immediately had to vomit and spit out the pill. On arriving back at the aid station, he was noted to have severe left-sided chest pain that worsened with reclining. He also had profound dyspnoea. Initial vital signs were unremarkable. The runner was immediately transported to an emergency room and eventually found to have an oesophageal rupture. After surgical intervention and a lengthy recovery, the runner is back to participating in sport.
一名参加100英里越野赛的选手出现严重的下胸痛和右上腹疼痛。他在离开补给站几百米后服用了一片非处方非甾体抗炎药后，疼痛立即发作。服药后，他立刻感到恶心并吐出了药片。回到补给站时，他被发现有严重的左侧胸痛，平躺时疼痛加剧。他还伴有严重的呼吸困难。初始生命体征并无异常。该选手被立即送往急诊室，最终被诊断为食管破裂。经过手术干预和漫长的康复过程，这位选手现已恢复运动。
