PATIENT: A 37-year-old woman presented with Mondor's thrombophlebitis 13 years 
after augmentation mammaplasty with subpectoral saline implants. She presented 
complaining of 1 week of "band-like" cords and pain involving the 
thoracoepigastric and lateral thoracic vessels. She was evaluated and ruled out 
for other etiologies of her breast symptoms.
BACKGROUND: Mondor's disease is a benign and self-limiting disease characterized 
by thrombophlebitis of the subcutaneous veins of the chest and abdominal wall. 
The inflammation causes painful superficial cords manifesting as skin 
retraction. Mondor's disease has been described in aesthetic breast surgery 
literature, but most cases occur within the first few postoperative weeks.
CONCLUSIONS: Mondor's disease may be idiopathic, iatrogenic, or a manifestation 
of underlying pathology such as breast cancer. The diagnosis of iatrogenic 
Mondor's disease can be made with high clinical certainty when following 
aesthetic breast surgery in the early postoperative period. However, in late 
presentations that are not immediately related to surgery, Mondor's disease 
remains a diagnosis of exclusion, and other underlying pathologic etiologies 
must be ruled out.