Martínez-Gil JC, Baldovino-Chiquillo AM, Reyes-Vega DF

Language: Spanish
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ABSTRACT

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.