title: Abdominal Mondor disease mimicking acute appendicitis.
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.
authors.affiliation: Division of General Surgery, Etablissement Hospitalier du Nord Vaudois, Yverdon-les-Bains, Switzerland. Electronic address: myriam.schuppisser@gmail.com.
authors.forename: Myriam
authors.initials: M
authors.lastname: Schuppisser
authors.affiliation: Division of General Surgery, Etablissement Hospitalier du Nord Vaudois, Yverdon-les-Bains, Switzerland. Electronic address: khallouf88@gmail.com.
authors.forename: Joe
authors.initials: J
authors.lastname: Khallouf
authors.affiliation: Clinic for Visceral and Transplantation Surgery, Departments of Surgery, University Hospital of Geneva, Geneva, Switzerland. Electronic address: ziad.abbassi@hcuge.ch.
authors.forename: Ziad
authors.initials: Z
authors.lastname: Abbassi
authors.affiliation: Division of General Surgery, Etablissement Hospitalier du Nord Vaudois, Yverdon-les-Bains, Switzerland. Electronic address: michel.erne@ehnv.ch.
authors.forename: Michel
authors.initials: M
authors.lastname: Erne
authors.affiliation: Division of General Surgery, Etablissement Hospitalier du Nord Vaudois, Yverdon-les-Bains, Switzerland. Electronic address: denise.vettorel@ehnv.ch.
authors.forename: Denise
authors.initials: D
authors.lastname: Vettorel
authors.affiliation: Division of General Surgery, Etablissement Hospitalier du Nord Vaudois, Yverdon-les-Bains, Switzerland. Electronic address: alexandre.paroz@ehnv.ch.
authors.forename: Alexandre
authors.initials: A
authors.lastname: Paroz
authors.affiliation: Division of General Surgery, Etablissement Hospitalier du Nord Vaudois, Yverdon-les-Bains, Switzerland. Electronic address: drnaikensuren@hotmail.com.
authors.forename: Surennaidoo P
authors.initials: SP
authors.lastname: Naiken
keywords: Epigastric vessels; Mondor disease; Right lower quadrant pain; Thrombophlebitis