A 52-year-old man describes chest pain related to meals and exertion. He was seen by his general practitioner 3 months ago who referred him to the cardiologist for investigation of possible angina. His electrocardiogram was described as showing sinus rhythm with no ST abnormalities. An exercise tolerance test reproduced his symptoms without electrocardiograph changes. He had a diagnostic angiogram with normal coronary arteries. His chest pain persists.
A chest X-ray showed normal lung fields and no bony abnormalities. Thyroid function tests and autoimmune screen were normal. What is the possible cause of his chest pain? *This case is from Docplexus Editorial Team for educative purposes only. Source: Clinical Cases Uncovered: Gastroenterology Answer posted in the comment section . Click here