Chest Wall Thrombophlebitis (Mondor's Disease)

Abstract Introduction Mondor's Disease (MD) is a rare condition characterised by thrombophlebitis of the superficial veins of the breast and anterior chest wall. Cases associated with inflammatory bowel disease are rare. Case A 54-year-old male presented to the symptomatic breast clinic with a 6-week history of a painful linear area on the anterolateral aspect of his left chest wall. There was no history of trauma or underlying coagulopathy. He also described increased stool frequency and crampy abdominal pain. On clinical examination, superficial thrombophlebitis with cording was noted along the outer upper quadrant of the chest wall. His past medical history included a previous diagnosis of ulcerative colitis, with no pharmacological treatment. He was subsequently referred to a gastroenterologist and all symptoms resolved following management of his underlying colitis. Discussion This gentleman’s thrombophlebitis followed the course of the thoracoepigastric vein. The occurrence of thromboembolic events has been documented in association with an exacerbation of ulcerative colitis; however, literature describing MD is scarce. The underlying aetiology is reportedly due to the hypercoagulable state identified in ulcerative colitis. There is a lack of consensus on the treatment of MD, however cases have responded well to the management of the precipitating colitis. Low molecular weight heparin can be used if chronicity ensues. Surgical management is not recommended. Conclusions MD is a rare presentation of ulcerative colitis. Clinicians should be aware of underlying aetiologies and a potential hypercoagulable state. Such cases in relation to UC require early diagnosis and treatment of underlying colitis.

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Bodybuilding-induced Mondor's disease of the chest wall

Physical Therapy in Sport ◽

10.1016/j.ptsp.2016.09.002 ◽

2017 ◽

Vol 23 ◽

pp. 133-135 ◽

Cited By ~ 3

Author(s):

Christian Tröbinger ◽

Christian J. Wiedermann

Keyword(s):

Chest Wall ◽

Mondor’S Disease ◽

Mondor's Disease

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Mondor's Disease of Chest Wall: A Case Report

10.21203/rs.3.rs-871697/v1 ◽

2021 ◽

Author(s):

Kai Zhang ◽

Jiannan Xu ◽

Yonghui Wu ◽

Weibin Wu ◽

Jian Zhang

Keyword(s):

Physical Activity ◽

Chest Wall ◽

Rare Case ◽

Medical Intervention ◽

Chest Ultrasonography ◽

Case Presentation ◽

Superficial Thrombophlebitis ◽

Mondor’S Disease ◽

Mondor's Disease ◽

Lateral Chest

Abstract Background: Mondor's disease (MD) is a rare benign and self-limited entity characterized by superficial thrombophlebitis of a vein in special regions. It may be secondary to trauma, malignancy, surgery, excessive physical activity or hyperviscosity. Diagnosis of MD is often based on history and physical examination. Case presentation: Here we present a rare case of Mondor's disease of chest wall with a pain and subcutaneous cord-like induration of right lateral chest. Ultrasonography revealed a superficial venous thrombosis of right thoracoepigastric vein. After treatment of aspirin for 2 weeks, chest pain was obviously relieved, and the lesion completely resolved approximately 6 weeks after presentation. Conclusions: Mondor’s disease could spontaneously resolved after several weeks and excessive medical intervention should be avoided.

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Mondor’s disease after extensive training with Nordic walking

Oxford Medical Case Reports ◽

10.1093/omcr/omz075 ◽

2019 ◽

Vol 2019 (8) ◽

Author(s):

Anette Lodvir Hemsing ◽

Håkon Reikvam

Keyword(s):

Chest Wall ◽

Underlying Disease ◽

Anterior Chest Wall ◽

Upper Body ◽

Nordic Walking ◽

Extensive Training ◽

Mondor’S Disease ◽

Mondor's Disease

Abstract We here present a case of a 59-year-old man with Mondor’s disease, thrombophlebitis of the superficial veins of the anterior chest wall. This occurred after the patient had initiated extensive training with walking poles, Nordic walking, probably predisposing to the thrombosis. Underlying disease was ruled out, and the treatment was symptomatic. Physicians should be aware of this condition in patients performing extensive upper body workout.

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Mondor's Disease of the Chest Wall

Internal Medicine ◽

10.2169/internalmedicine.2832-19 ◽

2019 ◽

Vol 58 (22) ◽

pp. 3349-3349

Author(s):

Daisuke Shibahara ◽

Kazutaka Yamaniha ◽

Hiroe Hashioka ◽

Jiro Fujita

Keyword(s):

Chest Wall ◽

Mondor’S Disease ◽

Mondor's Disease

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Mondor’s disease of the breast: a case series

Journal of Medical Case Reports ◽

10.1186/s13256-021-02708-6 ◽

2021 ◽

Vol 15 (1) ◽

Author(s):

K. Ben Hamida ◽

M. Ghalleb ◽

A. Triki ◽

I. Jebir ◽

R. Makhlouf ◽

...

Keyword(s):

Chest Wall ◽

Case Series ◽

Symptomatic Treatment ◽

Underlying Disease ◽

Clinical Findings ◽

Case Presentation ◽

Mondor’S Disease ◽

Mondor's Disease ◽

Inflammatory Drugs ◽

African Patients

Abstract Background Mondor’s disease of the breast (MDB) is a rare and benign disorder of the breast. It is characterized by thrombophlebitis of the superficial veins of the chest wall. Clinically, it manifests as a cord-like induration of the breast area. MDB resolves spontaneously without sequela. Case presentation We report cases of three Caucasian African patients aged 29, 40 and 34, respectively. One patient was under progestative contraception. All the patients had a cord-like induration on the chest wall. Ultrasonography was performed in all patients and was normal in two cases and showed a thrombotic vein in one case. All the patients had symptomatic treatment with total resolution of symptoms within 1 to 4 weeks. No relapse was observed. Conclusion MDB is benign in most cases. However, it is not to be taken lightly, because it can be the manifestation of an underlying disease such as breast cancer. The diagnosis is based on clinical findings; ultrasonography can be helpful for the diagnosis. Treatment is based on analgesic and anti-inflammatory drugs.

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Mondor’s Disease

IIUM Medical Journal Malaysia ◽

10.31436/imjm.v10i1.706 ◽

2020 ◽

Vol 10 (1) ◽

Author(s):

Siti Kamariah CM ◽

Humairah SC

Keyword(s):

Conservative Treatment ◽

Chest Wall ◽

Acute Phase ◽

Trauma Surgery ◽

Tubular Structure ◽

Doppler Imaging ◽

Middle Aged ◽

Mondor’S Disease ◽

Mondor's Disease ◽

Limiting Condition

A Mondor’s disease is a rare, benign and self-limiting condition. It is due to thrombophlebitis of the superficial veins of the breast and chest wall. It usually occurs in middle-aged women who present with a palpable cordlike structure, often painful in the acute phase. The aetiology is unknown, and may be related to trauma, surgery, infection or tight clothing. The finding of a superficial vessel seen as a linear opacity on mammography and a tubular structure on ultrasound is typical. An intra-luminal thrombus may be seen on ultrasound, and there may be absent flow on Doppler imaging. Conservative treatment is usually instituted, although surgery may be indicated in certain circumstances.

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