{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:03:42Z","timestamp":1787166222565,"version":"build-2736575974"},"reference-count":17,"publisher":"AOSIS","issue":"1","license":[{"start":{"date-parts":[[2024,8,14]],"date-time":"2024-08-14T00:00:00Z","timestamp":1723593600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Background:\u00a0Physicians often focus on possible cardiac causes in patients presenting with chest pain. However, this case highlights a patient who presented with chest pain caused by ingestion of a foreign body after an uneventful meal eaten an hour prior to presentation. The fishbone was discovered after imaging. The article aims to raise awareness regarding the potential origins of chest pain, highlighting that it may stem from non-cardiac conditions.\n\nMethods:\u00a0The methodology employed in this study involved conducting a case study that meticulously examined the repercussions and management strategies associated with foreign body ingestion.\n\nResults:\u00a0The case report delineates the scenario of a 27-year-old male patient who inadvertently ingested a fishbone during a routine meal. It details the swift decline in clinical status, the meticulous diagnostic procedures employed, the subsequent management strategies implemented and the ultimate discharge of the patient in a stable condition.\n\nConclusion:\u00a0This case highlights the importance of comprehensive history taking and considering a wide range of causes of chest pain when evaluating a patient. The foreign body ingested with the resulting cardiac complications could have been fatal if not promptly diagnosed.\n\nContribution:\u00a0This study contributed to advancing awareness surrounding foreign body ingestion, shedding light on potential complications and offering valuable insights into effective management strategies.<\/jats:p>","DOI":"10.4102\/safp.v66i1.5942","type":"journal-article","created":{"date-parts":[[2024,8,10]],"date-time":"2024-08-10T08:52:29Z","timestamp":1723279949000},"update-policy":"https:\/\/doi.org\/10.4102\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["More than chest pain: A case of oesophageal foreign body ingestion"],"prefix":"10.4102","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-4074-8069","authenticated-orcid":false,"given":"Mohammed M.A","family":"Agbabiaka","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03djtgh02","id-type":"ROR","asserted-by":"publisher"}],"name":"Primary Health Care"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6911-3308","authenticated-orcid":false,"given":"Idris T.","family":"Akinwande","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03djtgh02","id-type":"ROR","asserted-by":"publisher"}],"name":"Primary Health Care"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5555-7779","authenticated-orcid":false,"given":"Chika K.","family":"Egenasi","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/009xwd568","id-type":"ROR","asserted-by":"publisher"}],"name":"University of the Free State"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5983-7919","authenticated-orcid":false,"given":"Mathew O.","family":"Benedict","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/009xwd568","id-type":"ROR","asserted-by":"publisher"}],"name":"University of the Free State"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2580","published-online":{"date-parts":[[2024,8,14]]},"reference":[{"key":"ref0","unstructured":"Johnson K, Ghassemzadeh S. Chest pain [homepage on the Internet]. Treasure Island, FL: StatPearls Publishing; 2024 [updated 2022 Dec 14; cited 2024 May 28]. Available from: https:\/\/www.ncbi.nlm.nih.gov\/books\/"},{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Stepinska J, Lettino M, Ahrens I, et al. Diagnosis and risk stratification of chest pain patients in the emergency department: Focus on acute coronary syndromes. A position paper of the Acute Cardiovascular Care Association. Eur Heart J: Acute Cardiovasc Care. 2020;9(1):76\u201389. https:\/\/doi.org\/10.1177\/2048872619885346","DOI":"10.1177\/2048872619885346"},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"Wang QQ, Hu Y, Zhu LF, Zhu WJ, Shen P. Fish bone-induced myocardial injury leading to a misdiagnosis of acute myocardial infarction: A case report. World J Clin Cases. 2019;7(20):3335\u20133340. https:\/\/doi.org\/10.12998\/wjcc.v7.i20.3335","DOI":"10.12998\/wjcc.v7.i20.3335"},{"key":"ref3","doi-asserted-by":"crossref","unstructured":"Mathew RP, Sarasamma S, Jose M, et al. Clinical presentation, diagnosis and management of aerodigestive tract foreign bodies in the adult population: Part 1. SA J Radiol. 2021;25(1):2022. https:\/\/doi.org\/10.4102\/sajr.v25i1.2022","DOI":"10.4102\/sajr.v25i1.2022"},{"key":"ref4","unstructured":"Jaan A, Mulita F. Gastrointestinal foreign body [homepage on the Internet]. Treasure Island, FL: StatPearls Publishing; 2024 [updated 2023 Aug 28; cited 2024 May 28]. Available from: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK562203\/"},{"key":"ref5","unstructured":"Schaefer TJ, Trocinski D. Esophageal foreign body. Treasure Island, FL: StatPearls Publishing; 2024 [updated 2023 Jan 30; cited 2024 May 27]. Available from: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK482131\/"},{"key":"#cr-split#-ref6.1","unstructured":"Triadafilopoulos G. Ingested foreign bodies and food impactions in adults. UpToDate. Literature review current through Apr 2024. [updated 2023 Oct 11"},{"key":"#cr-split#-ref6.2","unstructured":"cited 2024 May 27]. Available from: https:\/\/www.uptodate.com\/contents\/2271#!."},{"key":"ref7","doi-asserted-by":"crossref","unstructured":"Hashim A, Tahir MJ, Ullah I, Asghar MS, Siddiqi H, Yousaf Z. The utility of point of care ultrasonography (POCUS). Ann Med Surg (Lond). 2021;71:102982. https:\/\/doi.org\/10.1016\/j.amsu.2021.102982","DOI":"10.1016\/j.amsu.2021.102982"},{"key":"ref8","doi-asserted-by":"crossref","unstructured":"Demiroren K. Management of gastrointestinal foreign bodies with brief review of the guidelines. Pediatr Gastroenterol Hepatol Nutr. 2023;26(1):1\u201314. https:\/\/doi.org\/10.5223\/pghn.2023.26.1.1","DOI":"10.5223\/pghn.2023.26.1.1"},{"key":"ref9","doi-asserted-by":"crossref","unstructured":"Koito Y, Asano T, Matsumoto S, Mashima H. Endoscopic mucosal incision to remove a fish bone completely embedded under the esophageal mucosa: A case report and literature review. Am J Case Rep. 2022;23:e936773. https:\/\/doi.org\/10.12659\/AJCR.936773","DOI":"10.12659\/AJCR.936773"},{"key":"ref10","doi-asserted-by":"crossref","unstructured":"Hoang VT, Van HAT, Chansomphou V, Vo UG. Safe endoscopic removal of ingested fish bone with oesophagal perforation and impingement on the aortic wall. JGH Open. 2021;6(1):94\u201395. https:\/\/doi.org\/10.1002\/jgh3.12701","DOI":"10.1002\/jgh3.12701"},{"key":"ref11","doi-asserted-by":"crossref","unstructured":"Itoda Y, Fukushima T, Kawamoto S, et al. Surgically treated purulent pericarditis induced by ingested fish bone: A case report. Gen Thorac Cardiovasc Surg Cases. 2023;2:95. https:\/\/doi.org\/10.1186\/s44215-023-00113-7","DOI":"10.1186\/s44215-023-00113-7"},{"key":"ref12","doi-asserted-by":"crossref","unstructured":"Sundler A, Hed\u00e9n L, Holmstr\u00f6m I, et al. The patient\u2019s first point of contact (PINPOINT) \u2013 Protocol of a prospective multicenter study of communication and decision-making during patient assessments by primary care registered nurses. BMC Prim Care. 2023;24:249. https:\/\/doi.org\/10.1186\/s12875-023-02208-0","DOI":"10.1186\/s12875-023-02208-0"},{"key":"ref13","doi-asserted-by":"crossref","unstructured":"Hoa NT, Tam NM, Derese A, et al. Patient experiences of primary care quality amongst different types of health care facilities in central Vietnam. BMC Health Serv Res. 2019;19:275. https:\/\/doi.org\/10.1186\/s12913-019-4089-y","DOI":"10.1186\/s12913-019-4089-y"},{"key":"ref14","doi-asserted-by":"crossref","unstructured":"Murphy SD. 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