Chest pain is a frequent complaint among patients in both the emergency department and outpatient clinics. Several urgent cardiac conditions, including acute coronary syndrome, aortic dissection, and pericarditis, must always be ruled out through meticulous clinical evaluations. Chest pain due to spontaneous sternal fractures is relatively common in patients diagnosed with multiple myeloma. Nevertheless, the clinical manifestation is usually subtle and progressive. In this particular case, the patient’s primary symptom during the treatment of multiple myeloma was acute chest pain, resulting from a spontaneous sternal fracture. The patient received pain management and chemotherapy for multiple myeloma, which effectively alleviated the pain.

Keywords: Sternal fracture; Multiple myeloma; Spontaneous

DOI: 10.35755/jmedassocthai.2023.08.13882

Received 26 June 2023 | Revised 22 July 2023 | Accepted 24 July 2023