1.A case of Behcet's syndrome with supeior vena cava syndrome.
Dong Soo HAN ; Jin Bae KIM ; Oh Young LEE ; Joo Hyun SOHN ; Kyung Nam PARK ; Choong Ki PARK
The Korean Journal of Internal Medicine 1998;13(1):72-75
Behcet's syndrome is a multi-systemic and chronic disorder that affects many organs. It has been suggested that the diagnosis was based on the presence of the 'major' and 'minor' clinical criteria. When thromobophlebitis, arthritis, central nervous system or gastrointestinal lesions are also present. Behcet's syndrome will be thought to be present in the appropriate geographic area. We report a case of superior vena cava syndrome caused by Behcet's disease in a 40-year-old man with recurrent oral aphthous ulcers and skin rashes on the anterior chest wall. There were multiple thrombosis of the superior vena cava, innominate and subclavian veins. This patient also had a solitary cecal ulcer with an ileocecal fistula and downhill varix. The chest CT, veno-cavography, pulmonary angiography and colon study were taken and follow-up was performed.
Adult
;
Behcet's Syndrome/diagnosis
;
Behcet's Syndrome/complications*
;
Cecal Diseases/complications
;
Human
;
Intestinal Fistula/complications
;
Male
;
Superior Vena Cava Syndrome/etiology*
;
Superior Vena Cava Syndrome/diagnosis
;
Ulcer/complications
2.Massive Thrombosis after Central Venous Catheterization in a Patient with Previously Undiagnosed Behcet's Disease.
Seong Hoon KO ; Seung Kwan KANG ; Sang Kyi LEE ; He Sun SONG
Journal of Korean Medical Science 2001;16(6):814-816
Thrombosis is an important complication of central venous catheterization. Among the many intrinsic and extrinsic factors, the patient's medical disease can play a role in thrombogenesis. Behcet's disease (BD), classified as a vasculitis, is a multisystem disease involving the small blood vessels. It is often difficult to recognize and diagnose the disease. A 24-yr-old female patient showed massive central venous thrombosis which caused superior vena cava syndrome after subclavian vein catheterization. Twenty days after catheterization, the patient exhibited swelling of the face, neck, and both upper extremities. Despite thrombectomy and continuous anticoagulation therapy, her facial and upper extremity swelling reappeared and follow-up chest computed tomography (CT) showed the recurrent thrombosis in the same central veins previously affected. A diagnosis of BD was then made. Following steroid therapy, neither clinical symptoms nor CT findings suggestive of central venous thrombosis were observed during the subsequent 6-months of follow-up period. This case emphasizes that central venous catheterization in a patient with BD should be performed with great caution.
Adult
;
Behcet's Syndrome/*complications
;
Case Report
;
Catheterization, Central Venous/*adverse effects
;
Female
;
Human
;
Phlebography
;
Superior Vena Cava Syndrome/diagnosis/*etiology
;
Tomography, X-Ray Computed
;
Vena Cava, Superior
3.Superior Vena Cava Syndrome Caused by Encircling Soft Tissue.
Dae Hyeok KIM ; Yong Sun JEON ; Gi Chang KIM ; In Sun AHN ; Jun KWAN ; Keum Soo PARK ; Woo Hyung LEE
The Korean Journal of Internal Medicine 2007;22(2):118-121
Superior vena cava syndrome can occur from benign conditions that might not alter life expectancy. Here we present a case of a superior vena cava (SVC) obstruction caused by soft tissue encircling the SVC, which was strongly suspected of being an unusual focal type of fibrosing mediastinitis. A 39-year-old man with no prior medical history presented with a four-week history of facial plethora, headache and dilated veins of the neck with a dark purple color change on the anterior chest wall. Radiology examinations, including venography, and computed tomography with a 3-dimensional volume-rendering image of the chest, had revealed severe narrowing of the SVC due to tiny encircling soft tissue and collateral vessels. A total occlusion of the SVC occurred as a result of a thrombus that developed within 1 day after the diagnostic SVC angiogram. The patient underwent stent deployment three days after the administration of thrombolytic therapy.
Adult
;
Fibrinolytic Agents/therapeutic use
;
Humans
;
Male
;
*Stents
;
Superior Vena Cava Syndrome/*diagnosis/etiology/surgery
4.Obstruction of superior vena cava resulting from left coronary artery-superior vena cava fistula: a case report.
You-peng JIN ; Bo HAN ; Yu-lin WANG
Chinese Journal of Pediatrics 2005;43(7):541-542
Arteriovenous Fistula
;
complications
;
diagnosis
;
diagnostic imaging
;
Child
;
Contrast Media
;
Coronary Angiography
;
Coronary Vessels
;
pathology
;
Female
;
Humans
;
Superior Vena Cava Syndrome
;
diagnosis
;
diagnostic imaging
;
etiology
;
Tomography, X-Ray Computed
;
Vena Cava, Superior
;
abnormalities
;
diagnostic imaging
5.A case of Behcet's disease with superior and inferior vena caval occlusion.
Wan Hee YOO ; Jin Seong MOON ; Sung Il KIM ; Wan Uk KIM ; Jun Gi MIN ; Sung Hwan PARK ; Sang Heon LEE ; Chul Soo CHO ; Ho Yeon KIM
The Korean Journal of Internal Medicine 1998;13(2):136-139
Behcet's disease is a chronic multisystemic disorder involving many organs and characterized by recurrent oral and genital ulcers and relapsing iritis. A case of BD with large vein thrombosis involving superior and inferior vena cava is presented. Large vein thrombosis in BD is not commonly developed and most commonly observed in the inferior or superior vena cava. A review of the literature emphasizes the rarity of the combined superior and inferior vena caval occlusion. Existence of extensive large vein occlusion in BD is associated with limited therapy and poor prognosis.
Adult
;
Behcet's Syndrome/diagnosis
;
Behcet's Syndrome/complications*
;
Disease Progression
;
Fatal Outcome
;
Female
;
Fibrinolytic Agents/therapeutic use
;
Human
;
Phlebography
;
Thrombosis/etiology*
;
Thrombosis/drug therapy
;
Thrombosis/diagnosis
;
Vena Cava, Inferior/radiography*
;
Vena Cava, Superior/radiography*
;
Substances: Fibrinolytic Agents