Pseudomyocardial infarction associated with a retrocaecal gangrenous appendix.

The case is presented of a 54 year old man who attended the emergency department with a history of central abdominal pain and electrocardiograpic changes consistent with an anteroseptal myocardial infarction. Myocardial infarction was not confirmed with serial cardiac enzymes and a subsequent laparotomy revealed a gangrenous retrocaecal appendix. This case highlights the rare but recognised association between an acute surgical abdomen and pseudomyocardial infarction. It is, to the authors' knowledge, the first reported case of pseudomyocardial infarction complicating a retrocaecal appendicitis.