Mondor's disease mimicking a Spigelian hernia
J E Losanoff1, M D Basson, W A Salwen
1Department of Surgery (11S), Wayne State University, John D. Dingell VA Medical Center, Detroit, MI 48201, USA. jelosanoff@yahoo.com
Hernia : the Journal of Hernias and Abdominal Wall Surgery
|January 10, 2008
Summary
Mondor's disease, or superficial thrombophlebitis of thoracoepigastric veins, can mimic a strangulated Spigelian hernia. This case report highlights the diagnostic challenges and unusual presentation of this condition in the abdominal wall.
Area of Science:
- Vascular Surgery
- Abdominal Wall Surgery
Background:
- Mondor's disease typically affects the chest wall, presenting as superficial thrombophlebitis of the thoracoepigastric veins.
- It is uncommon and usually seen in middle-aged women.
Observation:
- A case is presented where Mondor's disease mimicked a strangulated Spigelian hernia.
- Diagnosis was confirmed intra-operatively.
Findings:
- Superficial thrombophlebitis of the thoracoepigastric veins can occur in the Spigelian hernia belt.
- This presentation can lead to significant diagnostic confusion with abdominal wall hernias.
Implications:
- Clinicians should consider Mondor's disease in the differential diagnosis of abdominal wall masses, particularly in the Spigelian hernia region.
- This expands the known anatomical locations for Mondor's disease and emphasizes the need for careful intra-operative assessment when hernia is suspected.
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