Bilateral breast enlargement: an unusual presentation of superior vena cava obstruction in a hemodialysis patient with fibrosing mediastinitis

Cardiovasc Intervent Radiol. 2011 Feb:34 Suppl 2:S195-7. doi: 10.1007/s00270-009-9754-9. Epub 2009 Dec 1.

Abstract

A 67-year-old woman with end-stage renal disease presented with profound edema of both breasts. The presence of a patent hemodialysis basilic transposition fistula and superior vena cava obstruction (SVC), due to fibrosing mediastinitis, was demonstrated by the use of fistulography. Endovascular treatment with a balloon and stent caused immediate resolution of the breast edema.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Angiography
  • Angioplasty, Balloon
  • Arteriovenous Shunt, Surgical
  • Breast / blood supply
  • Breast Diseases / etiology*
  • Breast Diseases / therapy
  • Collateral Circulation / physiology
  • Diagnosis, Differential
  • Edema / etiology*
  • Edema / therapy
  • Female
  • Humans
  • Kidney Failure, Chronic / therapy*
  • Mediastinitis / complications
  • Mediastinitis / diagnosis
  • Renal Dialysis*
  • Sclerosis / complications
  • Sclerosis / diagnosis
  • Stents
  • Superior Vena Cava Syndrome / diagnosis*
  • Superior Vena Cava Syndrome / therapy
  • Tomography, X-Ray Computed

Supplementary concepts

  • Mediastinal Fibrosis