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蒙多氏病:胸痛的罕见病因。

Mondor's Disease: A Rare Cause of Chest Pain.

作者信息

Pipal Dharmendra K, Pipal Vibha Rani

机构信息

General Surgery, All India Institute of Medical Sciences, Gorakhpur, Gorakhpur, IND.

Obstetrics and Gynecology, All India Institute of Medical Sciences, Gorakhpur, Gorakhpur, IND.

出版信息

Cureus. 2022 Feb 17;14(2):e22320. doi: 10.7759/cureus.22320. eCollection 2022 Feb.

Abstract

Mondor's disease is an uncommon cause of breast and chest pain. It is characterized by cord-like thickening of the superficial veins of the anterior chest wall mimicking many life-threatening illnesses such as pulmonary thromboembolism and myocardial infarction. The disease may have been caused by trauma, other hypercoagulable states, or underlying breast diseases such as infection or carcinoma breast, but, in most cases, its etiology remains unknown. Mondor's disease is usually self-limited and can be managed conservatively. Although a rare and benign diagnosis, Mondor's disease should be a part of the differentials of chest pain, and its diagnosis can be made on the basis of a thorough clinical examination alone, which reduces not only costs but also the risks of further testing for patients presenting with chest pain. We highlight the case of a 40-year-old premenopausal female patient who presented to the outpatient department with stretching aching chest pain on the left side, which got aggravated on movements of the arm and relieved on rest. Mondor's disease is not considered a differential diagnosis for chest pain due to a lack of awareness about it. Creating awareness of this condition through this case report would help to reduce unnecessary investigations and valuable time spent and would help identify a serious underlying cause, especially early stage carcinoma of the breast.

摘要

蒙多氏病是引起乳房和胸痛的一种罕见病因。其特征是前胸壁浅静脉呈索状增厚,易被误诊为许多危及生命的疾病,如肺血栓栓塞症和心肌梗死。该病可能由外伤、其他高凝状态或潜在的乳腺疾病(如感染或乳腺癌)引起,但在大多数情况下,其病因仍不明。蒙多氏病通常为自限性,可采用保守治疗。尽管是一种罕见的良性诊断,但蒙多氏病应作为胸痛鉴别诊断的一部分,仅凭全面的临床检查即可作出诊断,这不仅降低了成本,还减少了胸痛患者进一步检查的风险。我们重点介绍了一名40岁的绝经前女性患者,她因左侧胸部拉伸性疼痛前来门诊就诊,该疼痛在手臂活动时加重,休息时缓解。由于对蒙多氏病认识不足,它未被视为胸痛的鉴别诊断。通过本病例报告提高对这种疾病的认识,将有助于减少不必要的检查和节省宝贵时间,并有助于识别严重的潜在病因,尤其是早期乳腺癌。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c75/8934013/628083647121/cureus-0014-00000022320-i01.jpg

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