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

Dong Erk Goo; Yong Jae Kim; Deuk Lin Choi; Kui Hyang Kwon; Seung Boo Yang

doi:10.1007/s00270-009-9754-9

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.

Authors

Dong Erk Goo¹, Yong Jae Kim, Deuk Lin Choi, Kui Hyang Kwon, Seung Boo Yang

Affiliation

¹ Department of Radiology, Soonchunhyang University Hospital, 22 Daesagwan-gil, Yongsan-gu, Seoul 140-210, Republic of Korea. [email protected]

PMID: 19949792
DOI: 10.1007/s00270-009-9754-9

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