Abdominal Mondor’s disease presenting as acute abdominal pain.

Abdominal Mondor’s disease presenting as acute abdominal pain.

Authors

  • Gianfranco Cervellin Academic Hospital of Parma, Italy
  • Michele Creta Academic Hospital of Parma
  • Michele Riva Academic Hospital of Parma
  • Vincenzo Di Comite Academic Hospital of Parma
  • Lorenzo Buttarelli Academic Hospital of Parma
  • Giuseppe Lippi Academic Hospital of Parma

Keywords:

Mondor's disease, thrombophlebitis, thromboembolism

Abstract

We describe here the case of 41 yrs old male patient, who was admitted to the emergency department complaining for abdominal pain lasting for two days. The patient self-reported a history of idiopathic deep vein thrombosis five yrs before the visit. A subcutaneous cordlike induration, tender and painful, was clearly palpable in the left lower abdominal quadrant. Routine blood tests did not reveal any substantial abnormality, except increased D-dimer concentration. Ultrasound evaluation of the abdominal wall revealed diffuse thrombosis of the left superficial inferior epigastric vein, involving several small tributaries branches, extended until 1.5 cm from the confluence with the common femoral vein, which was finally classified as an atypical case of Abdominal Mondor’s disease. Complete thrombophilia screening was negative. The patient was discharged with warfarin therapy 48 hours from admission. At 30 days follow-up, the patient self-reported a nearly complete recovery.

Author Biographies

Gianfranco Cervellin, Academic Hospital of Parma, Italy

Emergency Department

Michele Creta, Academic Hospital of Parma

Emergency Department

Michele Riva, Academic Hospital of Parma

Internal Medicine

Vincenzo Di Comite, Academic Hospital of Parma

Internal Medicine

Lorenzo Buttarelli, Academic Hospital of Parma

Radiology Department

Giuseppe Lippi, Academic Hospital of Parma

Laboratory Medicine

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Published

01-09-2013

Issue

Section

CASE REPORTS

How to Cite

1.
Abdominal Mondor’s disease presenting as acute abdominal pain. Acta Biomed [Internet]. 2013 Sep. 1 [cited 2024 Mar. 29];84(2):155-8. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/2793