Recurrent postpartum chest pain unmasking undiagnosed borderline personality disorder: a diagnostic case report

This case illustrates a diagnostically complex postpartum presentation in which panic-like somatic symptoms masked an underlying personality disorder. Although postpartum depression was initially suspected, psychiatric evaluation revealed previously undiagnosed BPD. Clinicians should consider trauma-informed psychiatric assessment in postpartum patients with medically unexplained symptoms, especially when symptoms are closely tied to interpersonal distress.