Ultrasound diagnosis of three cases of Mondor's disease.
| Autor: | Machan K; Sección de ecografía y ecografía-doppler, Servicios de Radiología y Urología, Hospital Clínico Universitario Málaga, Málaga, Spain., Rojo-Carmona LE, Marquez-Moreno AJ, Herrera-Imbroda B, Ruiz-Escalante JF, Herrera-Gutierrez D, Acebal-Blanco MM |
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| Jazyk: | English; Spanish; Castilian |
| Zdroj: | Archivos espanoles de urologia [Arch Esp Urol] 2012 Mar; Vol. 65 (2), pp. 262-6. |
| Abstrakt: | Objective: To describe clinical features and ultrasound findings of three cases of a little-known and relatively infrequent entity in daily clinical activity, which is often unnoticed and under-reported: penile Mondor's disease or superficial penile veins thrombophlebitis. Methods: We are reporting the cases of three patients aged 33, 25 and 39 years who were referred to our department, the first case with suspicion of inguinal hernia, the second one to rule out testicular pathology because of pubic and perineal discomfort, and the third one for painful induration of the dorsal region of the penis. The three patients underwent Doppler-ultrasound examination (Toshiba®, using a 13-18MHz linear transducer) to establish definitive diagnosis, and had a favorable evolution with conservative management. Results: Ultrasound examination revealed: Case 1. Penile superficial dorsal vein and lateral superficial veins thrombosis. Case 2. Thrombosis of the right branch of the superficial dorsal vein and its perineal distal connections. Case 3. Penile superficial dorsal vein thrombosis. Definitive diagnosis of the three cases was Mondor's disease. Conclusions: Mondor's disease is an often under-reported entity in daily clinical activity. Doppler-ultrasound findings (echogenic material within veins, lack of any response after compression by the transducer and absence of color flow) confirm de diagnosis. This disease has a favorable evolution and functional prognosis. Knowledge of Mondor's disease by echographists is basic to avoid false-negative results in radiologic examination. |
| Databáze: | MEDLINE |
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