Suganthan Navaneethakrishnan, Ratnasamy Vithiya
Department of Medicine, Teaching Hospital, Jaffna, Sri Lanka.
Professorial Medical Unit, Teaching Hospital, Jaffna, Sri Lanka.
J Med Case Rep. 2018 Jan 9;12(1):4. doi: 10.1186/s13256-017-1530-x.
Chest pain is one of the common presenting symptoms encountered in an emergency department. Prompt history taking and careful clinical examination do help to differentiate cardiac chest pain from other causes. Mondor's disease is a rare cause of chest pain which is often underdiagnosed due to lack of awareness. Mondor's disease is a condition characterized by thrombophlebitis of the superficial veins of breast and anterior chest wall. The diagnosis is often made clinically.
Here we report a case of a 37-year-old Sri Lankan Tamil woman who presented with chest pain and was clinically diagnosed as having Mondor's disease after a physical examination, which was confirmed with demonstration of thrombophlebitis by ultrasound scan imaging. Although it is a self-limiting condition, non-steroidal anti-inflammatory drugs are used in the treatment to hasten recovery in addition to giving reassurance.
Mondor's disease is not considered a differential diagnosis for chest pain due to lack of awareness of this medical condition. Creating awareness of this condition via this case would help to cut down unnecessary investigations and valuable time spent in emergency departments, and it helps to identify a serious underlying cause especially carcinoma of the breast at its early stage.
胸痛是急诊科常见的就诊症状之一。及时采集病史并进行仔细的临床检查确实有助于区分心脏性胸痛与其他病因。蒙多氏病是一种罕见的胸痛病因，由于认识不足，常常诊断不足。蒙多氏病是一种以乳房和前胸壁浅静脉血栓性静脉炎为特征的疾病。诊断通常依靠临床做出。
在此，我们报告一例37岁的斯里兰卡泰米尔族女性，她因胸痛就诊，经体格检查临床诊断为蒙多氏病，超声扫描成像显示血栓性静脉炎进一步证实了该诊断。尽管这是一种自限性疾病，但除了给予患者安慰外，治疗中还使用非甾体抗炎药以加速康复。
由于对这种疾病认识不足，蒙多氏病未被视为胸痛的鉴别诊断。通过这个病例提高对这种疾病的认识，将有助于减少急诊科不必要的检查和宝贵时间的浪费，有助于在早期识别严重的潜在病因，尤其是乳腺癌。
