Inflammatory bowel disease (IBD) is associated with the occurrence of a wide spectrum of extra-intestinal manifestations (EIMs) (1). Cardiac involvement, however, is rare and has been described in only a few case reports (2-5). When undiagnosed, myopericarditis can be lethal (3). We present a patient with intermittent vomiting as the first presenting symptom in new-onset IBD-associated myocarditis resulting in a lethal cardiac arrest.
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