Abstract
Introduction
Mondor’s disease is a rare self-limiting condition which presents with a palpable cord-like enlargement of superficial veins of the breast and anterior chest wall and sometimes the arm or penis. Reviews indicate that a number of cases have been reported in western countries. In Tanzanian literature, no case has been documented to the best of my knowledge.
Case Presentation
A 52-year-old Tanzanian woman residing in a rural area whose main occupation is a physically exerting hoe-farming. She reports insidious appearance of subcutaneous cord-like band which was initially painful and subsequently became painless and associated with tension and skin retraction. The band extended from below the left breast on the thorax to the upper abdominal wall. Reassurance, rest from farming activity and 2-week course of indomethacin tablets resulted in complete relief.
Conclusion
A rural farmer with thrombophlebitis of superficial vein below the breast was reported. Along with the discussion of the relevant literature is the acknowledgment that physical exertion of the chest wall from prolonged forceful farming activities may predispose individuals to Mondor’s disease.
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Acknowledgments
The author wish to acknowledge clinician and nurses of Inspire Dispensary in Shinyanga, Tanzania, in their contribution throughout case identification and management. The author also thanks clinician and nurses at a neighbouring health centre for their support during case medical records tracking.
Further Declarations
All case data can be accessed at Inspire Dispensary. Since the case file contains identifying information and would require data transfer authorization, the author is unable to deposit them online.
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Apart from Inspire Dispensary’s staff involved in case identification and management, and medical records follow-up at neighbouring health centre, the author did not receive support in case report development.
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Given its nature, the need for ethical approval for this case report was waived.
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A written permission to publish the case report without identifying information has been obtained from the patient. Patient photos are not included in this case report.
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Isangula, K.G. Intense Hoe-Farming: an Unusual Cause of Mondor’s Disease in a Rural Tanzanian Farmer. SN Compr. Clin. Med. 1, 822–824 (2019). https://doi.org/10.1007/s42399-019-00118-w
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DOI: https://doi.org/10.1007/s42399-019-00118-w