A case of fibrosing mediastinitis with obstruction of superior vena cava and downhill esophageal varices: a rare cause of upper gastrointestinal hemorrhage

J Clin Gastroenterol. 1999 Apr;28(3):268-70. doi: 10.1097/00004836-199904000-00021.

Abstract

Fibrosing mediastinitis (FM) is an excessive fibrotic reaction that occurs in the mediastinum and may lead to compression of mediastinal structures (especially vascular or bronchial). In the present study we describe the first case report of FM, in a patient who developed downhill esophageal varices and bleeding, which was secondary to superior vena cava obstruction.

Publication types

  • Case Reports

MeSH terms

  • Administration, Oral
  • Adult
  • Endoscopy, Digestive System
  • Esophageal and Gastric Varices / complications*
  • Esophageal and Gastric Varices / diagnosis
  • Esophageal and Gastric Varices / drug therapy
  • Female
  • Fibrosis / complications
  • Fibrosis / diagnosis
  • Fibrosis / drug therapy
  • Follow-Up Studies
  • Gastrointestinal Hemorrhage / diagnosis
  • Gastrointestinal Hemorrhage / drug therapy
  • Gastrointestinal Hemorrhage / etiology*
  • Glucocorticoids / administration & dosage
  • Humans
  • Mediastinitis / complications*
  • Mediastinitis / diagnosis
  • Mediastinitis / drug therapy
  • Phlebography
  • Prednisolone / administration & dosage
  • Superior Vena Cava Syndrome / complications*
  • Superior Vena Cava Syndrome / diagnosis
  • Superior Vena Cava Syndrome / drug therapy
  • Tomography, X-Ray Computed
  • Ultrasonography, Doppler

Substances

  • Glucocorticoids
  • Prednisolone