Embolization of chest wall varicosity for Mondor disease manifesting as pulmonary embolism

Mondor disease is a rare disease consisting of superficial thrombophlebitis of veins of the anterior thoracic wall, and less often of the groin, axilla, and abdomen. It most commonly presents as a cord-like induration on the chest wall. The etiology is unclear although it has been associated with breast cancer, local trauma, and hypercoagulable states. It is typically a benign and self-limiting condition, with pain being the most common complaint. We present the case of an otherwise healthy young male patient who presented with a chest wall thrombosed varicosity of an axillary vein tributary, which was a nidus for a subsequent pulmonary embolism. He was treated with a vascular plug to occlude the varicosity and prevent further pulmonary emboli.