Idiopathic Fibrosing Mediastinitis Causing Extensive Fibrotic Veno-occlusion with Minimal Mediastinal Involvement.
10.4046/trd.2002.52.3.278
- Author:
Je Hyeong KIM
1
;
Gyu Young HUR
;
Seung Heon LEE
;
Sang Yeub LEE
;
Sang Myun PARK
;
Chol SHIN
;
Jae Jeong SHIM
;
Kwang Ho IN
;
Han Kyeom KIM
;
Kyung Ho KANG
;
Se Hwa YOO
Author Information
1. Department of Internal Medicine, College of Medicine, Korea University, Seoul, Korea. jaejshim@kumc.or.kr
- Publication Type:Case Report
- Keywords:
Fibrosing mediastinitis;
Superior vena cave syndrome
- MeSH:
Aged;
Clavicle;
Edema;
Female;
Fibrosis;
Humans;
Inflammation;
Jugular Veins;
Mediastinitis*;
Mediastinum;
Neck;
Phenobarbital;
Phlebography;
Subclavian Vein;
Thorax;
Veins
- From:Tuberculosis and Respiratory Diseases
2002;52(3):278-282
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 68-year-old woman was admitted after suffering facial edema with neck vein engorgement ofr approximately 2 months. A chest X-ray showed a mild widening of the superior mediastinum and a luminal obliteration of the super ior vena cava (SVC) was noted on a computed tomograph. Venography showed that both subclavian veins were obstructed at the level of the poxima clavicle with a nonvisualization of the SVC. The SVC, both the innominate and the left inthrnal jugular veins were completely obstructed with extensive cord-like fibrotix changes despite the obsence of mediastinal involvement. The microscopic features showed a chronic granulomatous inflammation with a fibrosis minimally invading the mediastinal fat, which is cosistent with fibrosing mediastinitis.
