Mondor disease

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Classification according to ICD-10
I82.8 Embolism and thrombosis of other specified veins
ICD-10 online (WHO version 2019)

In the Mondor's disease ( synonym Crohn Mondor , Eisendrahtphlebitis , phlebitis Mondor ) is basically a thrombophlebitis of thoracoepigastric vein or its branches to the front of the thorax . The breasts can also be affected. Clinically, tendons that are painful to pressure appear.

Analogous diseases of the veins on the penis are called penile Mondor's disease .

history

The disease was first described in 1939 by the French surgeon Henri Mondor (1885–1962) as a phlebitis on the chest wall in women. In 1955 Otto Braun-Falco also introduced this name for a thrombosis or thrombophlebitis of the superficial dorsal penile vein.

Cause, frequency

Usually, Mondor's disease is preceded by trauma to the trunk . In rare cases, however, it can also appear as a side effect of cancer . Breast operations, inflammatory processes, pregnancy, radiation, polycythemia vera and polyglobulia can be found in the literature as further causes .

According to the first definition of 1939, Mondor's disease is a rare disease that affects women four times more often than men and 75% of them affect women in the middle decades .

Clinical picture

Mondor's disease typically appears as a painful (pressure) painful, possibly clearly palpable, stiff cord in the chest area, which is caused by the inflammatory change in the thoracoepigastric vein. Sometimes you can also see redness. The pain slowly subsides, the cord becomes softer and then usually disappears after 3 months. However, a palpable change can linger for up to a year.

histology

Mondor's disease is subacute obliterating , sclerosing phlebitis .

Diagnosis, prognosis and treatment

The diagnosis is based on clinical and Doppler sonographic findings. The palpable Mondor cord is a benign change that causes discomfort, but usually resolves spontaneously within three months at the most. In women over 35 years to exclude should breast cancer a mammogram done.

The treatment is only symptomatic ( analgesics , anti-inflammatory drugs ) and essentially corresponds to the treatment of thrombophlebitis .

Individual evidence

  1. ↑ S. Krautzig et al. a .: Basic textbook internal medicine . Urban & Fischer-Verlag, 2008, ISBN 978-3-437-41053-6 , p. 247, books.google.de
  2. ↑ M. Marshall et al. a .: Venous diseases . Springer, 2003, ISBN 3-540-44176-X , p. 66. books.google.de
  3. ↑ B. Loos, R. Horch: Mondor's disease after breast reduction surgery . In: Plastic and Reconstructive Surgery . 2006; 177, 7.
  4. ^ A b Roche Lexicon Medicine . Urban & Fischer-Verlag, 2003, ISBN 3-437-15150-9 , p. 1239. books.google.de
  5. ↑ Henri Mondor: Tronculite sous-cutanée subaiqure de la paroi thoracique anterolateral . In: Mem. Acad. Chir. , 1939, p. 1271.
  6. ↑ a b P. Kartsaklis u. a .: Penile Mondor's disease: a case report . In: Cases J. , 2008, 1, p. 411, PMC 2615764 (free full text)
  7. ↑ a b c A. Molckovsky et al. a .: Approach to inflammatory breast cancer . In: Can Fam Physician. , 2009 January, 55 (1), pp. 25–31, PMC 2628841 (free full text)
  8. ↑ a b R. Mang u. a .: Mondor's disease . In: Der Hautarzt, 54/10, 2003, pp. 990-992, springerlink.com
  9. ↑ BI Bejanga: Mondor's disease: analysis of 30 cases . In: JR Coll. Surg. Edinb. , 1992; 37, p. 322.