Todd Brett, Nierenberg Linnea, Price Jacob
Emergency Medicine, Beaumont Hospital, Royal Oak, USA.
Emergency Medicine, Oakland University William Beaumont School of Medicine, Rochester, USA.
Cureus. 2020 Feb 7;12(2):e6917. doi: 10.7759/cureus.6917.
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.
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。