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A 44-Year-Old Man With Acute Chest Pain.

Delphine Natali1, Do Van Tu2, Georges Cloatre3

  • 1Respiratory Medicine Department, Hanoi French Hospital, Hanoi, Vietnam.

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Summary
This summary is machine-generated.

A man presented with chest pain and leg pain. Further investigation revealed deep vein thrombosis (DVT) as the cause of his symptoms.

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Area of Science:

  • Cardiology
  • Vascular Medicine
  • Diagnostic Imaging

Background:

  • Chest pain is a common presenting symptom with a broad differential diagnosis.
  • Lower limb pain can indicate vascular events, including deep vein thrombosis (DVT).

Observation:

  • A 44-year-old male presented with a one-week history of left lateral chest pain, exacerbated by respiration and positional changes.
  • He reported preceding left lower limb pain for two weeks prior, without signs of superficial inflammation.
  • The patient denied dyspnea, cough, hemoptysis, syncope, fever, or constitutional symptoms.

Findings:

  • The clinical presentation, including pleuritic chest pain and preceding leg pain, raised suspicion for pulmonary embolism (PE) secondary to DVT.
  • Diagnostic workup confirmed deep vein thrombosis in the left lower limb.

Implications:

  • This case highlights the importance of considering DVT and PE in patients presenting with pleuritic chest pain, even without typical risk factors.
  • Prompt diagnosis and management of DVT are crucial to prevent potentially life-threatening complications like PE.
  • Vascular assessment should be integrated into the diagnostic pathway for unexplained chest pain and lower limb symptoms.