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Abstract：
BACKGROUND: Mondor disease (MD), a superficial thrombophlebitis of the thoraco-epigastric veins and their confluents is rarely reported in the literature. The superior epigastric vein is the most affected vessel but involvement of the inferior epigastric vessels or their branches have also been described. There is no universal consensus on treatment in the literature but most authors suggest symptomatic treatment with non-steroid anti-inflammatory drugs (NSAIDs).
METHODS: We report the case of a marathon runner who presented with right iliac fossa pain mimicking the clinical symptomatology of an acute appendicitis. The history and the calculated Alvarado score were not in favor of an acute appendicitis. This situation motivated multiple investigations and we finally arrived at the diagnosis of MD.
CONCLUSIONS: Acute appendicitis (AA) is the most common cause of surgical emergencies and one of the most frequent indications for an urgent abdominal surgical procedure around the world. In some cases, right lower quadrant pain remains unclear in spite of US, CT scan, and exclusion of urological and gynecological causes, thus we need to think of some rare pathologies like MD.
CONCLUSIONS: MD is often mentioned in the differential diagnosis of breast pathologies but rarely in abdominal pain assessment. It should be mentioned in the differential diagnosis of the right lower quadrant pain when the clinical presentation is unclear and when acute appendicitis has been excluded. Awareness of MD can avoid misdiagnosis and decrease extra costs by sparing unnecessary imaging.
METHODS: We report the case of a marathon runner who presented with right iliac fossa pain mimicking the clinical symptomatology of an acute appendicitis. The history and the calculated Alvarado score were not in favor of an acute appendicitis. This situation motivated multiple investigations and we finally arrived at the diagnosis of MD.
CONCLUSIONS: Acute appendicitis (AA) is the most common cause of surgical emergencies and one of the most frequent indications for an urgent abdominal surgical procedure around the world. In some cases, right lower quadrant pain remains unclear in spite of US, CT scan, and exclusion of urological and gynecological causes, thus we need to think of some rare pathologies like MD.
CONCLUSIONS: MD is often mentioned in the differential diagnosis of breast pathologies but rarely in abdominal pain assessment. It should be mentioned in the differential diagnosis of the right lower quadrant pain when the clinical presentation is unclear and when acute appendicitis has been excluded. Awareness of MD can avoid misdiagnosis and decrease extra costs by sparing unnecessary imaging.
摘要：
背景：蒙多病（MD），文献中很少报道胸腹静脉及其汇合的浅表血栓性静脉炎。腹上静脉是受影响最大的血管，但也已描述了腹下血管或其分支的受累。文献中没有关于治疗的普遍共识，但大多数作者建议使用非甾体抗炎药（NSAIDs）进行对症治疗。
方法：我们报告一例马拉松运动员出现右髂窝疼痛，类似急性阑尾炎的临床症状。病史和计算的Alvarado评分不赞成急性阑尾炎。这种情况激发了多种调查，我们最终得出了MD的诊断。
结论：急性阑尾炎（AA）是引起外科急症的最常见原因，也是全世界进行紧急腹部手术的最常见适应症之一。在某些情况下,尽管美国，右下腹疼痛仍不清楚，CT扫描,排除泌尿科和妇科原因，因此，我们需要考虑一些罕见的病理，如MD。
结论：MD在乳腺病变的鉴别诊断中经常被提及，但在腹痛评估中很少被提及。当临床表现不明确且排除急性阑尾炎时，在右下腹疼痛的鉴别诊断中应提及。对MD的认识可以避免误诊，并通过节省不必要的成像来减少额外的费用。
方法：我们报告一例马拉松运动员出现右髂窝疼痛，类似急性阑尾炎的临床症状。病史和计算的Alvarado评分不赞成急性阑尾炎。这种情况激发了多种调查，我们最终得出了MD的诊断。
结论：急性阑尾炎（AA）是引起外科急症的最常见原因，也是全世界进行紧急腹部手术的最常见适应症之一。在某些情况下,尽管美国，右下腹疼痛仍不清楚，CT扫描,排除泌尿科和妇科原因，因此，我们需要考虑一些罕见的病理，如MD。
结论：MD在乳腺病变的鉴别诊断中经常被提及，但在腹痛评估中很少被提及。当临床表现不明确且排除急性阑尾炎时，在右下腹疼痛的鉴别诊断中应提及。对MD的认识可以避免误诊，并通过节省不必要的成像来减少额外的费用。
