scholarly journals Mondor’s Disease: A Rare Cause of Chest Pain

Author(s):  
Jorge Miguel Bastos Mendes ◽  
João Filipe Ferreira Gomes ◽  
Lurdes Rovisco Branquinho ◽  
Catarina Oliveira Carvalho ◽  
Patrícia Filipa Afonso Pais Pacheco Mendes ◽  
...  

Introduction: Chest pain is a very frequent reason for seeking medical care. When there is no obvious cause, patients are sometimes subjected to tests and treatments that may be unnecessary and potentially harmful. Mondor's disease is a rare but usually benign and self-limited entity characterized by thrombophlebitis in a specific region. Case report: We report the clinical case of a 51-year-old man admitted to the emergency department with a 24-hour history of left chest pain with no other symptoms. Physical examination revealed a palpable subcutaneous cord-like structure that ultrasound confirmed to be thrombophlebitis of a superficial vein in the mammary region. Secondary causes were ruled out, and the condition resolved with ibuprofen and the application of local ice. Discussion: Mondor’s disease can be associated with neoplasms, trauma or hyperviscosity states, but it is mostly idiopathic. Usually, it resolves completely in 4–8 weeks without specific treatment. Because this infrequent diagnosis mainly relies on clinical findings, it is important that clinicians can recognize the syndrome.

2018 ◽  
Vol 12 (1) ◽  
Author(s):  
Navaneethakrishnan Suganthan ◽  
Vithiya Ratnasamy

2005 ◽  
Vol 16 (7) ◽  
pp. 510-511 ◽  
Author(s):  
S Day ◽  
J S Bingham

Mondor's disease of the penis, otherwise known as superficial thrombophlebitis (STP) or thrombosis of the dorsal vein, is an under-reported benign condition, the aetiology of which is poorly understood. It is characterized by a sudden, indurated swelling of the vein, often occurring after vigorous sexual activity. We report a case of Mondor's disease occurring 24h following a 15h flight. This gentleman also reported a history of STP of his left lower limb varicose veins following a similar-length flight three years previously. In the absence of any other clear predisposing factor, we propose long-haul flight as an important factor contributing to the development of dorsal vein thrombosis.


2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
L Armstrong ◽  
J Lockhart ◽  
H Mathers

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.


2003 ◽  
Vol 49 (5) ◽  
pp. 905-906 ◽  
Author(s):  
Thomas Dirschka ◽  
Kristine Winter ◽  
Erhard Bierhoff

2020 ◽  
Vol 26 (4) ◽  
pp. 68-72
Author(s):  
Svetlin Tsonev

Etiology, diagnostics and treatment of patients with angina like symptoms and angiographically coronary arteries with no changes remain uncertain. Microvascular dysfunction is main cause for the symptoms in these patients. Chest pain is usually severe and longer than in patients with obstructive coronary artery disease and this results in reduced functional capacity and often hospitalizations. Classic scheme of antiischemic treatment is insufficient in patients with microvascular dysfunctions, but metabolic class medicines reduce anginal episodes and their duration. We represent original data from our study and clinical case of a woman with long history of severe stenocardia and verified microvascular angina.


2020 ◽  
Vol 20 (3) ◽  
pp. 514-516
Author(s):  
Edilberto Temoche Espinoza ◽  
Christian Hu-Noriega ◽  
Horacio Ruiz-Gutiérrez

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
K. Ben Hamida ◽  
M. Ghalleb ◽  
A. Triki ◽  
I. Jebir ◽  
R. Makhlouf ◽  
...  

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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