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2016 ; 20
(ä): 37-40
Nephropedia Template TP
Schuppisser M
; Khallouf J
; Abbassi Z
; Erne M
; Vettorel D
; Paroz A
; Naiken SP
Int J Surg Case Rep
2016[]; 20
(ä): 37-40
PMID26803533
show ga
INTRODUCTION: Mondor disease (MD), a superficial thrombophlebitis of the
thoraco-epigastric veins and their confluents is rarely reported in the
literature. The superior epigastric vein is the most affected vessel but
involvement of the inferior epigastric vessels or their branches have also been
described. There is no universal consensus on treatment in the literature but
most authors suggest symptomatic treatment with non-steroid anti-inflammatory
drugs (NSAIDs). CASE REPORT: We report the case of a marathon runner who
presented with right iliac fossa pain mimicking the clinical symptomatology of an
acute appendicitis. The history and the calculated Alvarado score were not in
favor of an acute appendicitis. This situation motivated multiple investigations
and we finally arrived at the diagnosis of MD. DISCUSSION: Acute appendicitis
(AA) is the most common cause of surgical emergencies and one of the most
frequent indications for an urgent abdominal surgical procedure around the world.
In some cases, right lower quadrant pain remains unclear in spite of US, CT scan,
and exclusion of urological and gynecological causes, thus we need to think of
some rare pathologies like MD. CONCLUSION: MD is often mentioned in the
differential diagnosis of breast pathologies but rarely in abdominal pain
assessment. It should be mentioned in the differential diagnosis of the right
lower quadrant pain when the clinical presentation is unclear and when acute
appendicitis has been excluded. Awareness of MD can avoid misdiagnosis and
decrease extra costs by sparing unnecessary imaging.