Presentation
Pain at the base of the penis for the last three days. No history of trauma.
Patient Data
Greyscale ultrasound shows the superficial dorsal penile vein filled with hyperechogenic content without any detected flow inside the vein on color Doppler examination.
Color Doppler ultrasound shows only flow signals in bilateral dorsal penile arteries.
Case Discussion
Mondor disease is a rare disease that involves superficial dorsal veins.
It was described initially by Henri Mondor in 1939 as sclerosing thrombophlebitis of the subcutaneous veins of the anterior chest wall. Later on, the phlebitis of the dorsal veins of the penis was described by Braun-Falco in 1955 and by Helm and Hodge in 1958.
It is a benign, self-limited condition. The disease presents as a painful, cord-like induration in the dorsal aspect of the penis. The etiology of this condition is usually unknown. Symptoms usually resolve after 6 to 8 weeks of treatment with anti-inflammatory drugs.
Courtesy of Dr.Maxim Pougatchev.