scholarly journals What lies downstream? A case of superior vena cava syndrome presenting in the dermatology clinic: A case report

2020 ◽  
Vol 8 ◽  
pp. 2050313X2091961
Author(s):  
Rochelle Tonkin ◽  
Christopher Sladden

A 75-year-old female presented with a 1 year history of a firm, diffusely swollen, and erythematous facial plaque. She had preceding unsuccessful investigations and treatment for angioedema. Full-skin examination revealed multiple prominent varicosities on the chest and abdomen. Superior vena cava syndrome was suspected. Solid facial edema (Morbihan’s syndrome) and various infiltrates included in the differential diagnosis were ruled out with a skin biopsy. Chest computed tomography confirmed a complete superior vena cava thrombosis. Extensive workup for associated malignancy has to date been unremarkable, and as yet an underlying cause remains to be found.

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Imran Shaikh ◽  
Kenneth Berg ◽  
Nicholas Kman

Superior vena cava syndrome has historically been associated with malignancy. With the increasing use of indwelling central lines, catheters, and pacemakers in the past decade, there have been an increasing number of cases associated with thrombosis rather than by direct external compression. Patients presenting to the ED with an acute process of SVC syndrome need to be assessed in a timely fashion. Computed tomography angiography (CTA) or magnetic resonance angiogram (MRA) are superb modalities for diagnosis and can quickly be used in the ED. Treatment is oriented towards the underlying cause of the syndrome. In cases of thrombogenic catheter-associated SVC syndrome, anticoagulation is the mainstay of treatment. We present a case report and discussion of a 56-year-old male with a history of metastatic colorectal cancer and an indwelling central venous port with acute signs and symptoms of superior vena cava syndrome.


2016 ◽  
Vol 92 (1) ◽  
pp. 26-30
Author(s):  
Hajnalka Szántó ◽  
◽  
Rita Vízhányó ◽  
Noémi Dobrean ◽  
Klára Veréb ◽  
...  

Author(s):  
Andre Antunes ◽  
Manuel J. Antunes ◽  
Pedro Antunes ◽  
David Prieto

A 47-year-old man, with a history of aortic valve replacement 28 years earlier, was admitted to the emergency department with a right cervical mass and a superior vena cava syndrome. Thoracic angio-CT revealed a giant ascending aorta aneurysm, with an intramural thrombus and dissection flap, compressing the superior vena cava. Emergency surgery was performed, confirming those findings. The dissection had ruptured but was contained by surrounding structures, creating a false-aneurysm that compressed the superior vena cava. The aneurysm was excluded and the aorta was replaced by a Dacron conduit, thereby decompressing the upper mediastinum. The patient made an uneventful recovery.


1993 ◽  
Vol 29 (4) ◽  
pp. 704
Author(s):  
Hyun Sook Kim ◽  
Hyung Jin Kim ◽  
Hyeng Gon Lee ◽  
In Oak Ahn ◽  
Sung Hoon Chung

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