From an allergic reaction to a superior vena cava syndrome
Introduction/Objective: Superior vena cava syndrome (SVCS) is a collection of clinical signs and symptoms resulting from partial or complete obstruction of blood flow through the SVC. The venous obstruction may be due to compression, invasion, thrombosis, or fibrosis of the SVC. SVCS can be the init...
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City Medical emergency department, Belgrade
2024-01-01
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| Series: | Halo 194 |
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| Online Access: | https://scindeks-clanci.ceon.rs/data/pdf/2334-6477/2024/2334-64772401026M.pdf |
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| author | Milutinović Vojislava Milutinović Vladimir |
| author_facet | Milutinović Vojislava Milutinović Vladimir |
| author_sort | Milutinović Vojislava |
| collection | DOAJ |
| description | Introduction/Objective: Superior vena cava syndrome (SVCS) is a collection of clinical signs and symptoms resulting from partial or complete obstruction of blood flow through the SVC. The venous obstruction may be due to compression, invasion, thrombosis, or fibrosis of the SVC. SVCS can be the initial presentation of a previously undiagnosed tumor in up to 60% of cases. We are presenting the case of a patient with SVC syndrome who was initially diagnosed with an allergic reaction. Case report: An eighty-year-old patient with an allergy diagnosis was referred from the Community Health Centre to the Internal Medicine Clinic. The patient had previously been treated with antihistamines for days due to swelling and facial redness, which showed no signs of improvement. During the chest x-ray, a widened shadow of the upper side of the mediastinum on the right side was noticed. Along with the clinical appearance of the patient, this raised doubts of the superior vena cava syndrome. Hence, the patient was hospitalised to the Department of Pulmonology. A CT chest scan showed an infiltrative change and a significantly compressed upper vena cava due to the mediastinal adenopathy. Urgent radiotherapy was prescribed to the patient. Conclusion: If primarily manifested by skin symptoms, the diagnosis of superior vena cava syndrome can be easily overlooked. It is often that the clinical picture is initially interpreted as an allergic reaction, asthma or airway obstruction. In the presented case, this rare syndrome was the first symptom of intrathoracic malignancy. |
| format | Article |
| id | doaj-art-7b1fa975c5714bbb91420ec0d295af08 |
| institution | Kabale University |
| issn | 2334-6477 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | City Medical emergency department, Belgrade |
| record_format | Article |
| series | Halo 194 |
| spelling | doaj-art-7b1fa975c5714bbb91420ec0d295af082025-02-05T13:08:09ZengCity Medical emergency department, BelgradeHalo 1942334-64772024-01-01301263010.5937/halo2401026M2334-64772401026MFrom an allergic reaction to a superior vena cava syndromeMilutinović Vojislava0Milutinović Vladimir1KBC Bežanijska kosa, Beograd, SerbiaEuromedik, Beograd, SerbiaIntroduction/Objective: Superior vena cava syndrome (SVCS) is a collection of clinical signs and symptoms resulting from partial or complete obstruction of blood flow through the SVC. The venous obstruction may be due to compression, invasion, thrombosis, or fibrosis of the SVC. SVCS can be the initial presentation of a previously undiagnosed tumor in up to 60% of cases. We are presenting the case of a patient with SVC syndrome who was initially diagnosed with an allergic reaction. Case report: An eighty-year-old patient with an allergy diagnosis was referred from the Community Health Centre to the Internal Medicine Clinic. The patient had previously been treated with antihistamines for days due to swelling and facial redness, which showed no signs of improvement. During the chest x-ray, a widened shadow of the upper side of the mediastinum on the right side was noticed. Along with the clinical appearance of the patient, this raised doubts of the superior vena cava syndrome. Hence, the patient was hospitalised to the Department of Pulmonology. A CT chest scan showed an infiltrative change and a significantly compressed upper vena cava due to the mediastinal adenopathy. Urgent radiotherapy was prescribed to the patient. Conclusion: If primarily manifested by skin symptoms, the diagnosis of superior vena cava syndrome can be easily overlooked. It is often that the clinical picture is initially interpreted as an allergic reaction, asthma or airway obstruction. In the presented case, this rare syndrome was the first symptom of intrathoracic malignancy.https://scindeks-clanci.ceon.rs/data/pdf/2334-6477/2024/2334-64772401026M.pdfsuperior vena cava syndromeallergyurgent radiotherapy |
| spellingShingle | Milutinović Vojislava Milutinović Vladimir From an allergic reaction to a superior vena cava syndrome Halo 194 superior vena cava syndrome allergy urgent radiotherapy |
| title | From an allergic reaction to a superior vena cava syndrome |
| title_full | From an allergic reaction to a superior vena cava syndrome |
| title_fullStr | From an allergic reaction to a superior vena cava syndrome |
| title_full_unstemmed | From an allergic reaction to a superior vena cava syndrome |
| title_short | From an allergic reaction to a superior vena cava syndrome |
| title_sort | from an allergic reaction to a superior vena cava syndrome |
| topic | superior vena cava syndrome allergy urgent radiotherapy |
| url | https://scindeks-clanci.ceon.rs/data/pdf/2334-6477/2024/2334-64772401026M.pdf |
| work_keys_str_mv | AT milutinovicvojislava fromanallergicreactiontoasuperiorvenacavasyndrome AT milutinovicvladimir fromanallergicreactiontoasuperiorvenacavasyndrome |