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蒙多氏病:急诊科胸痛的罕见病因。

Mondor's Disease: A Rare Cause of Chest Pain in the Emergency Department.

作者信息

Todd Brett, Nierenberg Linnea, Price Jacob

机构信息

Emergency Medicine, Beaumont Hospital, Royal Oak, USA.

Emergency Medicine, Oakland University William Beaumont School of Medicine, Rochester, USA.

出版信息

Cureus. 2020 Feb 7;12(2):e6917. doi: 10.7759/cureus.6917.

Abstract

Thrombophlebitis of a subcutaneous vein, known as Mondor's disease, is a rare cause of chest pain and can mimic several more life-threatening diseases. Mondor's disease can be caused by trauma, or hypercoagulable states; however, in many cases the etiology is unknown. Mondor's disease is usually self-limited and can be managed conservatively. In this case report, we highlight a 52-year-old male patient who presented to our emergency department with chest pain caused by Mondor's disease mimicking a pulmonary embolism. Although a rare and benign diagnosis, Mondor's disease should be part of the differential diagnosis of chest pain and can be made on the basis of a thorough history and physical examination alone. Recognition of Mondor's disease could reduce costs and risks of further testing for patients presenting with chest pain.

摘要

皮下静脉血栓性静脉炎,即蒙多氏病,是胸痛的罕见病因,可酷似几种更具生命威胁的疾病。蒙多氏病可由创伤或高凝状态引起;然而,在许多情况下病因不明。蒙多氏病通常为自限性,可采用保守治疗。在本病例报告中,我们重点介绍了一名52岁男性患者,他因蒙多氏病导致胸痛前来我院急诊科就诊,症状酷似肺栓塞。尽管蒙多氏病是一种罕见的良性诊断,但它应作为胸痛鉴别诊断的一部分,仅凭详尽的病史和体格检查即可做出诊断。认识蒙多氏病可降低胸痛患者进一步检查的成本和风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9e7/7061779/3dda4a5e91b3/cureus-0012-00000006917-i01.jpg

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