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Journal of the Royal Society of Medicine Jul 2001
Topics: Acute Disease; Humans; Pulmonary Embolism; Thrombophlebitis
PubMed: 11418716
DOI: 10.1177/014107680109400724 -
Internal Medicine (Tokyo, Japan) Sep 2018Mondor's disease (MD) is a rare disease that manifests with a palpable cord-like induration on the body surface. In general, MD is a self-limited, benign... (Review)
Review
Mondor's disease (MD) is a rare disease that manifests with a palpable cord-like induration on the body surface. In general, MD is a self-limited, benign thrombophlebitis that resolves in four to eight weeks without any specific treatment. Cases of MD can be roughly categorized into three different groups based on the site of the lesion as follows: original MD of the anterolateral thoracoabdominal wall, penile MD with dorsum and dorsolateral aspects of the penis, and axillary web syndrome with mid-upper arm after axillary surgery. The diagnosis of MD is rather straightforward and based on a physical examinations. However, some case occur "secondary" with another underlying disease, including malignancy, a hypercoagulative state, and vasculitis. Therefore, it is critical to identify MD precisely, evaluate any possible underlying disease, and avoid any unnecessary invasive tests or treatment. In this paper, we comprehensively review the clinical characteristics of MD.
Topics: Arm; Humans; Male; Penile Diseases; Rare Diseases; Thrombophlebitis
PubMed: 29780120
DOI: 10.2169/internalmedicine.0495-17 -
Circulation Jul 2014
Topics: Adult; Follow-Up Studies; Humans; Male; Marijuana Smoking; Thrombophlebitis
PubMed: 25001627
DOI: 10.1161/CIRCULATIONAHA.114.009935 -
The Journal of Pediatrics Sep 2018
Topics: Anti-Bacterial Agents; Child; Ciprofloxacin; Hand; Humans; Infusions, Intravenous; Male; Thrombophlebitis
PubMed: 29706490
DOI: 10.1016/j.jpeds.2018.03.045 -
Journal of the National Medical... Jun 1996Mondor's disease, better known as superficial thrombophlebitis of the breast, is an uncommon disorder. Trauma and surgical biopsies head the top of the list of known... (Review)
Review
Mondor's disease, better known as superficial thrombophlebitis of the breast, is an uncommon disorder. Trauma and surgical biopsies head the top of the list of known causes. Over the past 25 to 30 years, various authors have proposed some new etiologies; however, the clinical course of the disease remains unchanged. This article describes three patients who presented for office visits and were diagnosed as having Mondor's disease. Although Mondor's disease is not a precancerous lesion, patients with atypical clinical courses should undergo close follow-up.
Topics: Adult; Breast Diseases; Diagnosis, Differential; Female; Humans; Incidence; Male; Middle Aged; Physical Examination; Thrombophlebitis
PubMed: 8691496
DOI: No ID Found -
Zentralblatt Fur Chirurgie Feb 2006Thrombophlebitis (TP) of the superficial venous system is associated to a high percentage with deep venous thrombosis (DVT). References in literature vary between 5 and...
UNLABELLED
Thrombophlebitis (TP) of the superficial venous system is associated to a high percentage with deep venous thrombosis (DVT). References in literature vary between 5 and 65 %, pulmonary embolisms (LE) were described in up to 33 %.
PATIENTS
In a retrospective study, 114 patients who had presented themselves with a TP of the superficial venous system between January 1 (st) and December 31 (st) 2004, were analysed in our institution. 50 % (n = 57) exhibited a TP in side branches of the superficial venous system. 19.3 % (n = 22) showed a TP of the great saphenous vein (GSV) of the calf or of the small saphenous vein (SSV) distally, in 28.1 % (n = 32) the GSV or SSV were affected at the thigh or proximally or in total length, 3 patients (2.6 %) exhibited a TP of the arm vein. 11 patients (9.6 %) showed a concomitant DVT. The frequency of DVT depended on the localisation and extension of the TP, and also on additional basic and acute risks for DVT. The incidence of a concomitant DVT was 5.2 % when side branches were affected and amounted to 15.6 % with TP in the area of the GSV or SSV. With varicosis as single risk factor, the frequency of a concomitant DVT was 6 %, varicosis combined with further risks showed a DVT frequency of 15.4 %.
RESULTS
All patients were treated with low molecular weight heparin either with prophylactic or therapeutic dosage, depending on localisation, extension and concomitant diseases. 10.5 % of the patients (n = 12) had to undergo urgent surgery with ligation of the sapheno-femoral junction or popliteal junction, if the TP had reached the junction into the deep venous system. By this therapy, we had not to observe any additional DVT. In 9 cases, an extension, respectively a recurrence of the TP could be observed. In each of these cases the dosage of the LMWH had not been adapted to the concomitant risks or had been terminated too early.
DISCUSSION
TP of the superficial venous system should be considered and treated as DVT. Consequent anticoagulation is needed, surgery should be performed when the TP reaches the junction into the deep venous system. The duration of the anticoagulation is not quite clear, but is carried out in our institution for three months with therapeutic intention.
Topics: Acute Disease; Adolescent; Adult; Aged; Aged, 80 and over; Dose-Response Relationship, Drug; Female; Heparin, Low-Molecular-Weight; Humans; Male; Middle Aged; Pulmonary Embolism; Retrospective Studies; Risk Factors; Thrombophlebitis; Treatment Outcome; Venous Thrombosis
PubMed: 16485211
DOI: 10.1055/s-2006-921388 -
European Journal of Medical Research Sep 2004Since its introduction laparoscopic surgery has been used for many indications, e.g., cholecystolithiasis, hernia, appendicitis, fundoplication, benign large bowel... (Review)
Review
Laparoscopic procedures as a risk factor of deep venous thrombosis, superficial ascending thrombophlebitis and pulmonary embolism--case report and review of the literature.
UNLABELLED
Since its introduction laparoscopic surgery has been used for many indications, e.g., cholecystolithiasis, hernia, appendicitis, fundoplication, benign large bowel disease and gynaecological disorders. It has been considered as safe and efficient procedure for most patients with only few contraindications, mostly heart-lung disease. When the initial enthusiasm has been replaced by a more critical observation, more complications of laparoscopy or laparoscopic surgery were not only discovered but also reported. In laparoscopic hernia repair there is a tendency for severe complications when compared to open surgery. There is a controversy on possible side-effects of laparoscopic surgery, e.g., thrombosis, and the increased necessity of prophylaxis for thromboembolic events. Recently a growing number of reports on thromboembolic complications in association with laparoscopic surgery were published. Thrombosis may be caused by detrimental effects of pneumoperitoneum on venous flow (increased abdominal pressure and negative Trendelenburg position) and activation of the haemostatic system. Further risk factors may contribute to the risk to develop venous thrombosis. It is well accepted that varicose veins are associated with an increased risk for the thrombosis. However, the association of varicose veins with complications of laparoscopic surgery is unclear. The possible impact of thrombotic complications makes an analysis of the association of varicose veins or a history of deep vein thrombosis on the development of thrombosis after laparoscopic surgery mandatory. Although this is the first report on ascending thrombophlebitis and thrombosis of the sapheno-femoral junction after laparoscopic surgery, the incidence of deep vein thrombosis or superficial thrombophlebitis after laparoscopic surgery or laparoscopy may be much higher according to the pathophysiological changes during and after these procedures. In many patients venous thrombosis may not be recognized or it appears when the patient is already discharged.
CONCLUSION
Laparoscopy and laparoscopic procedures may have an increased risk for the development of thrombosis due to increased abdominal pressure and negative Trendelenburg position. Patients with varicose veins and a history of thromboembolism may aggravate laparoscopy associated risks for the development of thromboembolic complications. Superficial thrombophlebitis in the thigh is not a benign disease entity and may lead to deep vein thrombosis (DVT) and pulmonary embolism (PE). Urgent surgical treatment (high ligation) may be warranted together with low-molecular weight heparin (LMWH) and compressions therapy. Patients with varicose veins and a history of venous thrombosis may not be suitable candidates for laparoscopic surgery. Family practitioners may be confronted with this complication more often since patients are discharged earlier from hospital after laparoscopic interventions due to legislative regulations.
Topics: Diverticulitis, Colonic; Humans; Intestinal Perforation; Laparoscopy; Male; Pulmonary Embolism; Risk Factors; Saphenous Vein; Sigmoid Diseases; Thrombophlebitis; Thrombosis
PubMed: 15546806
DOI: No ID Found -
Journal of Pediatric Surgery Aug 1998The purpose of this study was to present the microbiology and clinical features of six children with superficial suppurative thrombophlebitis (SST) caused by anaerobic...
OBJECTIVE
The purpose of this study was to present the microbiology and clinical features of six children with superficial suppurative thrombophlebitis (SST) caused by anaerobic bacteria.
METHODS
A retrospective review of microbiological and clinical data was undertaken.
RESULTS
Anaerobic bacteria alone were recovered in four instances, and they were mixed with facultative bacteria in two. There were 12 bacterial isolates (10 anaerobic and 2 facultatives). The bacteria were Peptostreptococcus species (four isolates), Prevotella species (three), and one isolate each of Fusobacterium nucleatum, Propionibacterium acnes, Staphylococcus aureus, and Staphylococcus epidermidis. SST at an intravenous infusion site developed in all but one patient. One patient sustained trauma to the leg, and cellulitis developed. Anaerobes of oral origin (Prevotella and Fusobacterium species) were recovered in scalp vein SST, and of gastrointestinal origin (Bacteroides fragilis) in a lower extremity SST.
CONCLUSION
This study highlights the potential importance of anaerobic bacteria in children with SST.
Topics: Anti-Bacterial Agents; Bacteria, Anaerobic; Bacterial Infections; Child; Child, Preschool; Combined Modality Therapy; Female; Humans; Infant; Infant, Newborn; Male; Microbial Sensitivity Tests; Prognosis; Retrospective Studies; Suppuration; Thrombophlebitis; Treatment Outcome
PubMed: 9722004
DOI: 10.1016/s0022-3468(98)90168-3 -
Clinical and Applied... Jan 2003Protein S deficiency is one of the principal congenital thrombophilias reported. The objective of this study was to assess the prevalence of protein S deficiency in...
Protein S deficiency is one of the principal congenital thrombophilias reported. The objective of this study was to assess the prevalence of protein S deficiency in patients with repetitive superficial thrombophlebitis. Thirty-six consecutive patients, 28 female and eight male, who presented with repetitive superficial thrombophlebitis (two or more cases); age range, 17 to 58 years, mean, 38.2 years; were evaluated. Coagulometry was used to determine the biologic activity of protein S. In 5.5% of the patients with repetitive superficial thrombophlebitis, protein S deficiency was detected.
Topics: Adolescent; Adult; Female; Humans; Male; Middle Aged; Pain; Protein S Deficiency; Thrombophlebitis
PubMed: 12643325
DOI: 10.1177/107602960300900108 -
The American Journal of Case Reports Jan 2020BACKGROUND Multifocal superficial thrombophlebitis is a rare clinical manifestation with wide differential diagnosis in relation to the background disease. CASE REPORT...
BACKGROUND Multifocal superficial thrombophlebitis is a rare clinical manifestation with wide differential diagnosis in relation to the background disease. CASE REPORT Here we report on 2 patients who presented with a systemic inflammatory response, multifocal thrombophlebitis, and orbital inflammation in whom a diagnosis of a defined background disease could not be established. CONCLUSIONS The clinical pattern of our 2 cases might represent a distinctive, not yet defined systemic medical condition.
Topics: Aged; Humans; Inflammation; Male; Orbital Cellulitis; Thrombophlebitis; Undiagnosed Diseases
PubMed: 31932573
DOI: 10.12659/AJCR.919715