Idiopathic Mondor's Disease of the Breast in an Outpatient Primary Care Center: A Case Report

Introduction: Mondor's Disease (MD) is a thrombophlebitis of the anterolateral chest wall, with only about 400 cases reported worldwide, predominantly in women. We report a case of MD with sudden onset of pain, edema, and asymmetry in the left breast, evolving over two weeks. Objectives: To p...

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Main Authors: Castro-Goyes, Daniel Fernando, Cepeda-Trillos, Andrea Carolina
Format: Article
Language:Spanish
Published: Universidad de Antioquia 2025-01-01
Series:Iatreia
Subjects:
Online Access:https://revistas.udea.edu.co/index.php/iatreia/article/view/351479
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author Castro-Goyes, Daniel Fernando
Cepeda-Trillos, Andrea Carolina
author_facet Castro-Goyes, Daniel Fernando
Cepeda-Trillos, Andrea Carolina
author_sort Castro-Goyes, Daniel Fernando
collection DOAJ
description Introduction: Mondor's Disease (MD) is a thrombophlebitis of the anterolateral chest wall, with only about 400 cases reported worldwide, predominantly in women. We report a case of MD with sudden onset of pain, edema, and asymmetry in the left breast, evolving over two weeks. Objectives: To present a case of breast MD identified in an outpatient primary care center in Bogotá, Colombia, as a contribution to broaden the understanding of this disease, raise awareness among healthcare teams about the importance of early identification and appropriate treatment, and contribute to the characterization of MD in the country. Findings: Physical examination revealed edema in the outer quadrants of the left breast associated with a visible longitudinal lesion in the upper outer quadrant (UOQ), tender to palpation. Ultrasound evidence confirmed superficial venous thrombosis. Interventions: A breast ultrasound was performed, showing vascular dilation in the UOQ of the left breast. A breast specialist evaluation was conducted to confirm the diagnosis of MD. Medical management included anti-inflammatory drugs and local heat application, resulting in favorable evolution. Conclusions: MD is an unusual condition in primary care settings, requiring greater awareness among healthcare teams for improved early identification.
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spelling doaj-art-2518fff14b8d48b8834bc90c0033a29b2025-01-17T15:44:06ZspaUniversidad de AntioquiaIatreia0121-07932011-79652025-01-0138115015710.17533/udea.iatreia.297Idiopathic Mondor's Disease of the Breast in an Outpatient Primary Care Center: A Case ReportCastro-Goyes, Daniel Fernando0https://orcid.org/0000-0002-5842-3802Cepeda-Trillos, Andrea Carolina1https://orcid.org/0000-0002-3599-192XJavesalud IPS. Bogotá, ColombiaPontificia Universidad Javeriana. Bogotá, ColombiaIntroduction: Mondor's Disease (MD) is a thrombophlebitis of the anterolateral chest wall, with only about 400 cases reported worldwide, predominantly in women. We report a case of MD with sudden onset of pain, edema, and asymmetry in the left breast, evolving over two weeks. Objectives: To present a case of breast MD identified in an outpatient primary care center in Bogotá, Colombia, as a contribution to broaden the understanding of this disease, raise awareness among healthcare teams about the importance of early identification and appropriate treatment, and contribute to the characterization of MD in the country. Findings: Physical examination revealed edema in the outer quadrants of the left breast associated with a visible longitudinal lesion in the upper outer quadrant (UOQ), tender to palpation. Ultrasound evidence confirmed superficial venous thrombosis. Interventions: A breast ultrasound was performed, showing vascular dilation in the UOQ of the left breast. A breast specialist evaluation was conducted to confirm the diagnosis of MD. Medical management included anti-inflammatory drugs and local heat application, resulting in favorable evolution. Conclusions: MD is an unusual condition in primary care settings, requiring greater awareness among healthcare teams for improved early identification.https://revistas.udea.edu.co/index.php/iatreia/article/view/351479ambulatory carecase reportsmastodyniathoracic wallthrombophlebitis
spellingShingle Castro-Goyes, Daniel Fernando
Cepeda-Trillos, Andrea Carolina
Idiopathic Mondor's Disease of the Breast in an Outpatient Primary Care Center: A Case Report
Iatreia
ambulatory care
case reports
mastodynia
thoracic wall
thrombophlebitis
title Idiopathic Mondor's Disease of the Breast in an Outpatient Primary Care Center: A Case Report
title_full Idiopathic Mondor's Disease of the Breast in an Outpatient Primary Care Center: A Case Report
title_fullStr Idiopathic Mondor's Disease of the Breast in an Outpatient Primary Care Center: A Case Report
title_full_unstemmed Idiopathic Mondor's Disease of the Breast in an Outpatient Primary Care Center: A Case Report
title_short Idiopathic Mondor's Disease of the Breast in an Outpatient Primary Care Center: A Case Report
title_sort idiopathic mondor s disease of the breast in an outpatient primary care center a case report
topic ambulatory care
case reports
mastodynia
thoracic wall
thrombophlebitis
url https://revistas.udea.edu.co/index.php/iatreia/article/view/351479
work_keys_str_mv AT castrogoyesdanielfernando idiopathicmondorsdiseaseofthebreastinanoutpatientprimarycarecenteracasereport
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