The 'Spiked Helmet Sign', a Mimic of ST-Elevation Myocardial Infarction in Post-Nephrectomy Ileus

There are many causes of ST-elevation on electrocardiogram (ECG). ECG changes in the setting of intra-abdominal pathology is a rare and under characterised and includes the “spiked helmet sign”. We report a rare case of the “spiked helmet sign” that presented with ST-elevation in the precordial leads due to post-operative ileus.