2012, Number 2
<< Back Next >>
Rev Mex Angiol 2012; 40 (2)
Tromboflebitis toracoabdominal. Enfermedad de Mondor
Uribe GG, Sigler ML, Gutiérrez CAR, Sánchez FC, Jiménez GR
Language: Spanish
References: 16
Page: 57-60
PDF size: 441.15 Kb.
ABSTRACT
Background: In normal conditions thoracoabdominal veins are not visible or prominent. When there
is an obstructive process in deep veins of the pelvis or the abdomen, they represent a way to facilitate
blood return to the heart. In other rare conditions, they may suffer secondary thrombophlebitis as in
trauma, hypercoagulation, and mammary surgery, among others.
Objective. To present patients with
abdominal or thoracic wall thrombophlebitis treated in the last 30 years.
Material and methods.
Chart and photographic review of eight patients with ages from 25 to 56 years old seen with this condition.
Results. Six patients were seen and treated as outpatients with local heat, nonsteroidal antiinflammatory
drugs and analgesics. Varicothrombectomy was done in a patient with suprapubic thrombosis,
and a patient with a huge abdominal hernia with parietal vein thrombosis was operated upon. All
patients recuperated in less than eight weeks.
Conclusions. As in any territory of the venous system,
thrombophlebitis can affect the thoracoepigastric region, causing pain, erythema, and a palpable subcutaneous
cord. Most of the times is a limited condition improving with nonsteroidal antiinflammatory
drugs and occasionally may require excision or drainage. Repeated trauma, hypercoagulability or even
neoplasms have to be rulled out occasionally.
REFERENCES
Mondor H. Tronculite sours-coutanee subaigue de la paroi thoracique anterolaterale. MWm Acad Chir 1939; 65: 1271-8.
Pugh CM, DeWitty RL. Mondor’s Disease. J Natl Med Assoc 1996; 96: 359-63.
Álvarez-Garrido H, Garrido-Ríos AA, Sanz-Muñoz C, Miranda- Romero A. Mondor’s disease. Clin Exp Dermatol 2009; 34: 753-6.
Quéhé P, Saliou AH, Guias B, Bressollette L. Mondor’s disease, report on three cases and literature review. J Mal Vasc 2009; 34: 54-60.
Zidani H, Foughali M, Laroche JP. Superficial venous thrombosis of the penis: Penile Mondor’s disease? A case report and literature review. J Mal Vasc 2010; 35: 352-4.
Soler-González J, Ruiz MC. Mondor’s Disease. N Engl J Med 2005; 352: 1024.
Dudrap E, Milliez PY, Auquit-Auckbur I, Bony-Rerolle S, Chu Charles-Nicolle. Mondor’s disease and breast plastic surgery. Ann Chir Plast Esthet 2010; 55: 233-7.
Khan UD. Mondor disease: a case report and review of the literature. Aesthet Surg J 2009; 29: 209-12.
Talhari C, Mang R, Megahed M, Ruzicka T, Stege H. Mondor disease associated with physical strain: report of 2 cases. Arch Dermatol 2005; 141: 800-1.
Duff P. Mondor’s disease in pregnancy. Obstet Gynecol 1981; 58: 117-9.
Levi I, Baum M. Mondor’s disease as a presenting symptom of breast cancer. Br J Surg 1987; 74: 700.
Chiedozi LC, Aghahowa JA. Mondor’s disease associated with breast cancer. Surgery 1988; 103: 438-9.
Courtney SP, Polacarz S, Raftery AT. Mondor’s disease associated with metastasic lung cancer in the breast. Postgrad Med J 1989; 65: 779-80.
Diamantopoulos EJ, Yfanti G, Andreadis E. Giant-cell arteritis presenting as Mondor disease. Ann Internal Med 1999; 130: 78-9.
Holle-Robatsch S, Fink AM, Schubert C, Steiner A, Partsch H. Mondor phlebitis associated with hepatitis C. Vasa 2001; 30: 297-8.
Losanoff JE, Basson MD, Salwen WA, Sochaki P. Mondor’s disease mimicking a Spigelian hernia. Hernia 2008; 12: 425-7.