Misdiagnosis of Abdominal Angina as Psychogenic Origin

誤診為心因性疼痛的腹部心絞痛

陳金柱(Jin-Ju Chen) ； 柯天龍(Tien-Lung Ko)

《台灣精神醫學》 21卷1期 (2007/03) Pp. 62-65

https://doi.org/10.29478/TJP.200703.0008

摘要

Objective: major depression is a risk factor of cardiovascular disease and depression of late onset is associated with vascular change in origin which can be manifested as pain accompanying depressive mood. Here we report a case of major depression with cardiovascular disease and underlying atherosclerotic change of abdomial aorta including it's treatment and outcome. Case report: We report a case of major depression with persistent abdominal pain due to atherosclerotic change of the abdominal aorta which was misdiagnosed as being of psychogenic in origin. Lab data including lipid profile and abdominal computer tomography (CT) are presented, treatment and outcome are also discussed. Conclusion: Abdominal pain with cardiovascular disease and atherosclerotic change which gastroenterologists called abdominal angina can be misdiagnosed as psychogenic. Although it can be temporalily treated with anti-platelet agent and lipid lowering agent, the abdominal pain involved abvanced atherosclerotic change of abdominal aorta can be irreversible, impeding outcome and even fatal.

關鍵字

憂鬱症 ； 腹部心絞痛 ； 高密度膽固醇 ； 低密度膽固醇

並列摘要

Objective: major depression is a risk factor of cardiovascular disease and depression of late onset is associated with vascular change in origin which can be manifested as pain accompanying depressive mood. Here we report a case of major depression with cardiovascular disease and underlying atherosclerotic change of abdomial aorta including it's treatment and outcome. Case report: We report a case of major depression with persistent abdominal pain due to atherosclerotic change of the abdominal aorta which was misdiagnosed as being of psychogenic in origin. Lab data including lipid profile and abdominal computer tomography (CT) are presented, treatment and outcome are also discussed. Conclusion: Abdominal pain with cardiovascular disease and atherosclerotic change which gastroenterologists called abdominal angina can be misdiagnosed as psychogenic. Although it can be temporalily treated with anti-platelet agent and lipid lowering agent, the abdominal pain involved abvanced atherosclerotic change of abdominal aorta can be irreversible, impeding outcome and even fatal.

並列關鍵字

major depression ； abdominal angina ； high density cholesterol HDL ； low density cholesterol LDL

參考文獻

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