Case Presentation A 40-year-old female with a history of hypertension and ischemic cardiomyopathy (status post–percutaneous coronary intervention 12 years prior) presented to the emergency department with acute severe chest and epigastric pain. One month earlier, she had undergone insertion of an intragastric balloon for weight loss.
Presenting Symptoms The patient reported: Acute-onset severe epigastric and chest pain Repeated vomiting and nausea Abdominal bloating Shortness of breath Left shoulder numbness Inability to tolerate solid food since the balloon insertion No bowel movements for one month Approximately 20 kg of unintentional weight loss Physical Examination On arrival, she appeared in significant distress with: Tachycardia: 120 beats/min Tachypnea: 30 breaths/min Blood pressure: 140/90 mmHg Oxygen saturation: 99% on room air Abdominal findings: Distension, rigidity, and…
