Causes of right-sided chest pain in women
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Common and Rare Causes of Right-Sided Chest Pain in Women
Right-sided chest pain in women can have a variety of causes, ranging from common respiratory and musculoskeletal issues to rare abdominal and gynecological conditions. Understanding these causes is important for accurate diagnosis and effective treatment.
Fitz-Hugh-Curtis Syndrome and Gynecological Causes
Fitz-Hugh-Curtis syndrome, an inflammation of the perihepatic capsule often linked to pelvic inflammatory disease, can present as right-sided chest pain in women, even without typical pelvic symptoms. This condition should be considered, especially in young women, as early diagnosis is crucial to prevent chronic complications .
Diaphragmatic Hernia and Intrathoracic Appendicitis
Rarely, right-sided chest pain in women can be caused by abdominal organs herniating into the chest cavity. For example, a diaphragmatic hernia can lead to intrathoracic appendicitis, which may present with pleuritic pain and fever. Surgical repair is necessary to avoid serious complications .
Pneumothorax and Catamenial Pneumothorax
Spontaneous pneumothorax, or collapsed lung, can cause acute right-sided chest pain and shortness of breath. In some women, this may be related to the menstrual cycle (catamenial pneumothorax), often triggered by vigorous activity and occurring around the onset of menstruation .
Respiratory and Infectious Causes
Respiratory infections, such as pneumonia or pleurisy, can also cause right-sided chest pain. These are sometimes accompanied by cough, fever, and shortness of breath. Women may experience recurrent episodes, especially if they have risk factors like smoking 45.
Musculoskeletal and Psychogenic Causes
Musculoskeletal pain, such as that from trauma or muscle tension, is another common cause of right-sided chest pain. Psychogenic disorders, including anxiety, are also more frequently diagnosed in women presenting with chest pain .
Coronary Heart Disease and Other Considerations
While coronary heart disease (CHD) is less common as a cause of right-sided chest pain in women compared to men, it should still be considered, especially in women with risk factors or pain lasting more than an hour. However, stinging pain is less likely to be associated with CHD in women .
Conclusion
Right-sided chest pain in women can result from a wide range of causes, including gynecological conditions like Fitz-Hugh-Curtis syndrome, rare abdominal issues such as intrathoracic appendicitis, respiratory infections, musculoskeletal problems, psychogenic disorders, and, less commonly, coronary heart disease. Accurate diagnosis requires careful consideration of the patient's history, risk factors, and associated symptoms 12345.
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