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Báo cáo y học: ": Traumatic funicular phlebitis of the thoracic wall resembling Mondor’s disease: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Traumatic funicular phlebitis of the thoracic wall resembling Mondor’s disease: a case report. | Kondo Journal of Medical Case Reports 2011 5 127 http www.jmedicalcasereports.eom content 5 1 127 JOURNAL OF MEDICAL CASE REPORTS CASE REPORT Open Access Traumatic funicular phlebitis of the thoracic wall resembling Mondor s disease a case report Takeshi Kondo Abstract Introduction Mondor s disease is a peculiar form of thrombophlebitis involving a superficial vein in the subcutaneous fat of the breast or anterior chest wall. Case presentation The author presents a case of a 35-year-old male Japanese patient with cord-like induration in the right lateral thoracic wall. This lesion was diagnosed as traumatic funicular phlebitis resembling Mondor s disease. Conclusion Traumatic funicular phlebitis resembling Mondor s disease is a clinical entity which may give suggestive insight to the etiology of Mondor s disease itself. Introduction Mondor s disease is a peculiar form of superficial thrombophlebitis first reported in 1939 1 as a thrombophlebitis involving a superficial vein in the subcutaneous fat of the breast or anterior chest wall especially in women 2 . Classic Mondor s disease involves the lateral thoracic thoracoepigastric or superior epigastric veins 3 . It usually occurs as a sudden subcutaneous tender painless cord-like swelling of the vein 2 . The process is usually unilateral but very rarely bilateral manifestations have been found. The histologic changes are limited to a subcutaneous vein showing thrombosis and organisation 4 . This article will describe a case which can be called traumatic funicular phlebitis. Case presentation A 35-year-old Japanese man working for a pathological laboratory noticed tenderness in his right lower lateral thoracic wall and a palpable cord-like lesion extending from the painful point on the right seventh rib to the axillar fossa. Physical examination revealed the presence of a curvilinear subcutaneous cord-like induration in the right lateral chest wall. The lesion was approximately 15 cm long originating from the painful