Clinical image: Mondor’s disease in a patient with ulcerative colitis

Inflammatory bowel disease (IBD) is recognised to be a prothrombotic state and an increased risk of venous thrombosis has been documented with IBD. However, reports of superficial venous thrombosis are less common, and there is a degree of uncertainty in the appropriate management of such patients. We report about a 55-year-old lady who presented with a flare of ulcerative colitis when cyclosporine (started for a previous episode of acute severe ulcerative colitis) was stopped. This flare was associated with the appearance of cord-like structures on the right lateral abdominal wall, which were confirmed to be thrombosed veins consistent with Mondor’s disease. The patient did not have additional predisposing factors and carcinoma breast was excluded.