Thrombophlebitis Mondor

Superficial venous thrombophlebitis EBM Guidelines. Essentials Thrombophlebitis is a common disease Thrombophlebitis Mondor the superficial Thrombophlebitis Mondor that most commonly occurs in the lower extremities especially in the great saphenous vein [vena saphena magna] and often is Thrombophlebitis Mondor with varicose veins.

It can also occur elsewhere, e. As opposed to deep vein thrombosis DVTan inflammatory process of the venous wall is almost always present in addition Thrombophlebitis Mondor thrombosis. The prognosis Thrombophlebitis Mondor superficial thrombophlebitis is usually good. A more extensive superficial venous visit web page may spread to the deep veins.

Ultrasonography is helpful in the differential diagnostics and it is recommended to exclude deep vein thrombosis. D dimer is not helpful in the differentiation between superficial and deep Thrombophlebitis Mondor thrombosis. Muscular vein thrombosis and superficial Thrombophlebitis Mondor are often mixed welche Übungen sind von Vorteil für Krampfadern. Muscular vein thrombosis is not a superficial thrombophlebitis but a sub-category of deep vein thrombosis, in which the thrombosis is located in the muscular veins of the calf region plexus soleus or plexus gastrocnemius.

Predisposing factors Predisposing factors include damage to the venous intima superficial trauma, drug infusion, intravenous source of illicit drugsdecreased venous flow varices, chronic venous insufficiency, pregnancy, prolonged immobilizationincreased thrombotic tendency malignancy, coagulation disorder, hormonal therapy or a combination of these.

The condition may also appear without clear predisposing Thrombophlebitis Mondor. May be Thrombophlebitis Mondor with vasculitis. Polyarteritis nodosa Thrombophlebitis Mondor disease i.

Approximately one third of these patients also have superficial venous thrombi. Recurring superficial venous thrombi in a young person who smokes much suggest Buerger's disease. Behcet's Thrombophlebitis Mondor Migrating superficial thrombophlebitis short venous cord, blocked and then cured but recurs in another part Prävention von Unterschenkelgeschwüren be a sign of an underlying malignancy, particularly of pancreatic cancer.

Clinical picture The affected venous area is painful, Thrombophlebitis Mondor and swollen. The vein is hard and tender on palpation. An extensive phlebitis often is associated with fever and a mild increase of CRP concentration.

A superficial venous thrombosis may spread to the deep veins. Deep vein thrombosis is the more likely the closer the Thrombophlebitis Mondor thrombophlebitis is either to the saphenofemoral junction in the groin or to the perforant veins in the popliteal area.

The clinical picture is often benign and self-limiting. The inflammation and the symptoms take usually 3—4 weeks to resolve, but sometimes the condition may become prolonged.

The thrombosed vein may be felt for months. Superficial venous thrombosis may recur, particularly if it was associated with varices. Diagnosis The diagnosis is based on clinical examination. The determination of Thrombophlebitis Mondor D dimer concentration is not helpful in the differentiation between superficial and deep venous thrombosis.

Ultrasonography is Thrombophlebitis Mondor at least, if the clinical picture is not obvious differential diagnosis there are concomitant clinical signs that suggest deep venous thrombosis superficial thrombophlebitis is located Thrombophlebitis Mondor to the knee, especially if it is close to junction of vena saphena magna, i.

Thrombophlebitis Mondor evd The aim of treatment is to alleviate local symptoms Thrombophlebitis Mondor well as to prevent thrombosis from spreading into the deep Thrombophlebitis Mondor and embolization to lungs. Symptoms may be alleviated with compressive stockings, cold compresses and by keeping the leg elevated.

Similar treatment is indicated, if Thrombophlebitis Mondor thrombus is located irrespective of its length at a distance of less than 3 cm from the saphenofemoral junction located in the groin. Some experts recommend that patients with superficial thrombophlebitis that is located close to the saphenofemoral junction should be given similar anticoagulant treatment as in deep vein thrombosis.

According to the SURPRISE trial published init seems that 6-week therapy with rivaroxaban 10 mg once daily would not be inferior to Symptome Lungenembolie Tod durch therapy with fondaparinux 2. More Thrombophlebitis Mondor is needed, Thrombophlebitis Mondor rivaroxaban therapy may already now be considered Thrombophlebitis Mondor these patients.

Thrombophlebitis Mondor is probably worthwhile, at least for the time being, to treat higher-risk patients e. The practicality of rivaroxaban is its benefit. There is no evidence regarding other direct oral anticoagulants. During pregnancy, LMWH treatment is used and continued throughout pregnancy and for 6 weeks after the end of pregnancy. If the criteria for anticoagulant therapy Thrombophlebitis Mondor above are not met, the patient may use oral NSAIDs, which alleviate symptoms but do not affect the thrombotic process.

Topically applied anticoagulant cream may Thrombophlebitis Mondor the Thrombophlebitis Mondor of a local venous Thrombophlebitis Mondor, but there is no evidence that it would prevent the spreading Thrombophlebitis Mondor the thrombosis to the deep veins. Antimicrobial therapy is not needed and it should only be commenced if the patient clearly has another concomitant infection.

Superficial thrombophlebitis associated with an intravenous cannula is usually not treated with systemic anticoagulants. The patient is recommended to start moving around as soon as the symptoms allow immobility may increase the risk of deep Thrombophlebitis Mondor thrombosis.

A patient with an extensive or recurring superficial thrombophlebitis should be referred to specialist care. Surgery appears learn more here to be beneficial in the acute phase of superficial thrombophlebitis.

Benign breast conditions: Mondor's disease

Pathogenetisch handelt es sich um Thrombophlebitis Mondor umschriebene, sklerosierende Thrombophlebitis Thrombophlebitis Mondor subkutanen Thoraxvenen unbekannter Ursache. Beobachet wurden Fälle nach thermischer Ablation von Varizen. Meist nur geringfügige subjektive Beschwerden: Spannungsgefühl bei Bewegungen und geringe Empfindlichkeit des seitlichen Thorax und der vorderen Axillarlinie.

Spontane Regression nach einigen Wochen. Bitte fragen Sie Thrombophlebitis Mondor betreuenden Arzt, Thrombophlebitis Mondor eine endgültige und belastbare Diagnose zu erhalten. Thrombophlebitis Mondor Webseite kann Thrombophlebitis Mondor nur einen Anhaltspunkt liefern. Ätiopathogenese Pathogenetisch handelt es sich um eine umschriebene, sklerosierende Thrombophlebitis der subkutanen Thoraxvenen unbekannter Ursache.

Lokalisation Seitliche Brustwand, vordere Axillarlinie. Auch in anderen Regionen kommen strangförmige oberflächliche Phlebitiden vor, z. Häufig Nachweis von Riesenzellen. Therapie Zugang nur für registrierte Benutzer von Altmeyers Enzyklopädie Dieser Abschnitt und weitere exklusive Inhalte sind nur für registrierte Benutzer verfügbar. Jetzt kostenlos registrieren Sie haben sich bereits Thrombophlebitis Mondor Klicken Sie hier um sich anzumelden.

Osservazioni su casi. Recenti Prog Med Ann Intern Med Mem Acad Chir Phlebol u Proktol Weiterführende Artikel 2 Heparin ; Phlebitis. Disclaimer Bitte fragen Sie Ihren Thrombophlebitis Mondor Arzt, um eine endgültige und belastbare Diagnose zu erhalten.

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