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June 27, 1931


Author Affiliations

Atlanta, Ga.

JAMA. 1931;96(26):2196-2197. doi:10.1001/jama.1931.27220520003008c

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It is well known that any painful lesion of the thoracic wall may produce symptoms which are quite alarming to the patient, but inflammation of the thoraco-epigastric vein is apparently of sufficient rarity as a cause of dyspnea to justify the report of a case.

A man, aged 40, white, married, complained of pain in his right side and of inability to breathe deeply enough to carry on his work properly. The pain had begun ten days previously and was sharp and persisting in character. It was intensified on elevation of the right shoulder, on deep inspiration and on flexion of the trunk to the left. Dyspnea was a development of the past two days and was the symptom which induced him to seek relief. He stated that for several days he had noticed a "string" under the skin of his right side which was very tender to touch.


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