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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.
Chest
|December 7, 2020
Summary
A man presented with chest pain and leg pain. Further investigation revealed deep vein thrombosis (DVT) as the cause of his symptoms.
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.
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