Mondor's Disease Superficial Thrombophlebitis of the Chest Wall: Case Report of a Rare Condition

Abstract

Introduction: Superficial thrombophlebitis of the chest wall is referred to as Mondor's disease (MD). Other atypical locations such as abdominal, inguinal and penile regions have been described in the literature [1]. In the thoracic region, the veins mainly affected are the thoracoepigastric vein and the superior epigastric vein. Its incidence is low and it generally occurs in the middle-aged people [2]. It is a benign, self-limited lesion whose treatment is usually conservative. The resolution of the clinical picture in most cases occurs within 4 to 8 weeks [2, 5]. Clinical Case: A 41- year-old female patient, no personal pathologic history. She went to the doctor for medical consultation due to the presence of a lump in the right submammary region after thoracic trauma with a car seat belt in a traffic accident of 12 days of evolution. She reported pain and progressive increase of the lump size. Physical examination revealed the presence of a venous lump in the right chest and abdominal wall, 1 cm in diameter, solid, painful on palpation, extending from the right submammary region to the right side with a length of 13 cm. Based on the clinical and ultrasound study, a diagnosis of Mondor's disease was made. An initial conservative management was decided with the use of anti- inflammatory drugs, analgesics and clinical and ultrasound monitoring at 4 weeks. Conclusion: Mondor's disease is a clinical disease of infrequent occurrence; its diagnosis is based mainly on a detailed clinical history and can be complemented with color Doppler ultrasound. Being a self-limited disease, the treatment with the highest success rates is conservative, reserving surgery in cases of difficult pain treatment.