A 33-year-old Turkish Cypriot man living in the United Kingdom was seen in the emergency department for chest pain. He was aware of the pain for some weeks, and on the day of hospital admission it worsened significantly and radiated to the left arm and back. It was constant, not pleuritic, and settled spontaneously over a period of 3 h. He smoked heavily and worked as a catering manager. His weight was stable with no other symptoms. His medical history was significant for abdominal injury sustained at the age of 5 years in a hand grenade incident that resulted in the death of his brother. He underwent laparotomy with a splenectomy at that time. Clinical examination revealed several abdominal wall scars but was otherwise unremarkable.