Mondor disease in a male patient
Keywords:
Enfermedad de MondorAbstract
Introduction: Mondor's disease is a superficial thrombophlebitis that affects the thoracoabdominal subcutaneous veins mainly unilaterally, with a peak incidence in the fifth decade of life affecting mainly women.
Objective: To describe the presentation of a superficial thrombophlebitis of the thoracoepigastric vein, also called Mondor's disease, in a male adult.
Case report: A 43-year-old male patient with no relevant history who consulted for presenting constant pain of three days of evolution located in the right anterolateral thoracic region of moderate intensity not associated with other symptoms. The clinical findings highlighted during the examination include elevated blood pressure levels and the presence of an indurated subcutaneous cord that extends from the lower third of the upper outer quadrant of the right breast to the right subcostal region. Ultrasonography is performed, which reports the absence of collapse of the vessel studied by compression of the transducer. A diagnosis of Mondor's disease is established and non-steroidal anti-inflammatory drugs are prescribed for one week, with gradual improvement in symptoms and complete resolution at six weeks of follow-up.
Conclusions: This disease, despite being a rare entity, especially in male patients, should be taken into account within the differential diagnoses of pain or superficial longitudinal induration in the anterolateral chest wall, even in the absence of risk factors for its appearance, the use of ultrasonography corresponds to a good complementary diagnostic tool to reach the diagnosis.
DeCS: THROMBOPHLEBITIS/therapy; THROMBOPHLEBITIS/diagnostic imaging; THROMBOPHLEBITIS/complications; THROMBOPHLEBITIS/drug therapy; CASE REPORTS.
Downloads
References
1. Atravia MB. Tromboflebitis superficial. Rev méd sinerg [Internet]. 2019 Mar [citado 30 Jun 2021];4(3):[aprox. 51 p.].Disponible en: https://www.medigraphic.com/pdfs/sinergia/rms-2019/rms193d.pdf
2. Wasan S. Superficial Thrombophlebitis and Its Management. En: Perler B, Sidaway A, editors. Rutherford’s Vascular Surgery and Endovascular Therapy. Philadelphia, PA: Elsevier; 2019. p. 1971-1977.
3. Rivera IJ, González AI. Enfermedad de Mondor. Angiología [Internet]. 2018 [citado 30 Jun 2021];70(5):[aprox. 12 p.]. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0003317018300968?via%3Dihub
4. Amano M, Shimizy T. Mondor's Disease: A Review of the Literature. Intern Med [Internet]. 2018 Sep 15 [citado 30 Jun 2021];57(18):[aprox. 6 p.]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29780120/.
5. Villalobos C, Mora G. Actualización en Enfermedad de Mondor. Medleg Costa Rica [Internet]. 2017 Mar [citado 30 Jun 2021];34(1):[aprox. 5 p.] Disponible en: https://repositorio.binasss.sa.cr/repositorio/bitstream/handle/20.500.11764/811/art25v34n1.pdf?sequence=1&isAllowed=y
6. Bastos Mendes JM, Ferreira Gomes JF, Rovisco Branquinho L, Oliveira Carvalho C, Pacheco Mendes PFAP, Carvalho Madaleno JL. Mondor's disease: a rare cause of chest pain. EJCRIM [Internet]. 2020 Nov [citado 30 Jun 2021];7(12):[aprox. 3 p.]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33457356/.
7. Pasta V, D'Orazi V, Sottile D, Del Vecchio L, Panunzi A, Urciuoli P. Breast Mondor's disease: Diagnosis and management of six new cases of this underestimated pathology. Phlebology. 2015 Sep;30(8):564-8. doi:10.1177/0268355514553494.
8. Leal B, Vieira S, Carvalho B, Correia A, Almeida B. Mondor’s disease in a patient previously treated for breast carcinoma in situ: a case report. N Z Med J [Internet]. 2012 May [citado 30 Jun 2021];125(1354):[aprox. 101 p.]. Disponible en: https://assetsglobal.websitefiles.com/5e332a62c703f653182faf47/5e332a62c703f673282fded3_leal.pdf
9. Ramos V, López LM, Arias RD, Mínguez G, Martin B. Enfermedad de Mondor en el varón: una entidad clínica poco frecuente. Cir Esp [Internet]. 2021 Dic [citado 30 Jun 2021];99(10):[aprox. 2 p.]. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0009739X20303043?via%3Dihub
10. Temoche-Espinoza E, Hu-Noriega C, Ruiz-Gutiérrez H. Enfermedad de Mondor: a propósito de un caso clínico. Rev Fac Med Hum [Internet]. 2020 Jul [citado 30 Jun 2021];20(3):[aprox. 5 p.]. Disponible en: https://revistas.urp.edu.pe/index.php/RFMH/article/view/3041/3206
11. Carrillo Domínguez LG, Gasca Domínguez LG. Tromboflebitis de la vena toracoepigástrica: enfermedad de Mondor. Acta Med Grupo Angeles [Internet]. 2020 [citado 30 Jun 2021];18(4):[aprox. 4 p.]. Disponible en: https://www.medigraphic.com/pdfs/actmed/am-2020/am204r.pdf
12. Bejanga BI. Mondor’s disease: analysis of 30 cases. J R Coll Surg Edinb [Internet]. 1992 Oct [citado 30 Jun 2021];37(5):[aprox. 13 p.]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/1282551/.
13. Herrán FS, Beltrán IL, Madrid A, Baquero M. Enfermedad de Mondor de la mama. Reporte de caso bilateral. Cir Plást [Internet]. 2013 Nov [citado 30 Jun 2021];23(3):[aprox. 15 p.]. Disponible en: https://www.medigraphic.com/pdfs/cplast/cp-2013/cp133e.pdf
14. Pittaka M, Fotiou E, Dionysiou M, Polyviou P, Eracleous E, Andreopoulos D, et al. Penile Mondor’s disease in a patient treated with radical chemoradiation for anal cancer. Oxf Med Case Rep [Internet]. 2017 Abr [citado 30 Jun 2021];(8):[aprox. 6 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5786214/pdf/omx036.pdf
15. Collado CM, Pérez V, Guerrero O, Rodríguez N, Fonseca JC. Tromboflebitis superficial de la vena toracoepigástrica: enfermedad de Mondor. Dermat Cosmet Méd Quir [Internet]. 2018 Abr [citado 30 Jun 2021];16(2):[aprox. 9 p.]. Disponible en: https://www.medigraphic.com/pdfs/cosmetica/dcm-2018/dcm182k.pdf
16. Goldman A, Wollina U. Mondor’s Disease after Aesthetic Breast Surgery: A Case Series and Literature Review. J Cutan Aesthet Surg [Internet]. 2018 Jul [citado 30 Jun 2021];11(3):[aprox. 15 p.]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30533987/.
Published
How to Cite
Issue
Section
License
Copyright: Camagüey Medical Archive Magazine, offers immediately after being indexed in the SciELO Project; Open access to the full text of the articles under the principle of making available and free the research to promote the exchange of global knowledge and contribute to a greater extension, publication, evaluation and extensive use of the articles that can be used without purpose As long as reference is made to the primary source.
Conflicts of interest: authors must declare in a mandatory manner the presence or not of conflicts of interest in relation to the investigation presented.
(Download Statement of potential conflicts of interest)
The Revista Archivo Médico de Camagüey is under a License Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 International (CC BY 4.0).
This license allows others to distribute, to mix, to adjust and to build from its work, even for commercial purposes, as long as it is recognized the authorship of the original creation. This is the most helpful license offered. Recommended for maximum dissemination and use of licensed materials. The full license can be found at: https://creativecommons.org/licenses/
22 julio 2025