Myocarditis misdiagnosed as acute cholecystitis: a case report

Myocarditis misdiagnosed as acute cholecystitis: a case report

Myocarditis can present with a variety of symptoms, including chest pain, heart failure, cardiogenic shock, and fatal arrhythmia. The prognosis can be fatal; therefore, early diagnosis and treatment are important for saving patients’ lives. Herein, we report the case of a 26-year-old woman who visited a hospital with complaints of the Murphy’s sign, nausea, and vomiting. She was diagnosed with acute cholecystitis based on radiological examination and subsequently transferred to the emergency room of our hospital due to shock during hospitalization. Upon examination at our hospital, the patient had no symptoms suggestive of myocarditis but was still diagnosed with the condition based on elevated serum cardiac enzymes and echocardiography and magnetic resonance imaging findings. Despite the use of vasopressors and inotropic agents in the intensive care unit, shock worsened. After extracorporeal membrane oxygenation, the patient improved and was discharged without complications after 32 days of hospitalization.