title: Intermittent edema of the upper and lower extremities and the abdominal wall caused by membranous stenosis of the superior vena cava and membranous obstruction of the inferior vena cava.
abstract: We report on a 38-year-old patient with intermittent edema of the lower legs, arms and abdominal wall. The cause for his tendency to develop edema was a membranous obstruction of the inferior vena cava and a membranous stenosis of the superior vena cava. The etiology of these anomalies of the vena cava suggests a congenital malformation. In consideration of the cases of inferior and/or superior vena cava-anomalies published to date the patient received an anticoagulant therapy (coumarin) and treatment with graduated compression stockings. He now complains from time to time of a sensation tension in the lower legs after prolonged standing or sitting. Edema of the upper and lower extremities and the abdominal wall have disappeared.
authors.affiliation: Medizinische Universit-ats-Poliklinik Bonn, Wilhelmstr. 35-37, Bonn D-53111, Germany.
authors.forename: U
authors.initials: U
authors.lastname: Jörger
authors.forename: M M
authors.initials: MM
authors.lastname: Ludwig
authors.forename: M
authors.initials: M
authors.lastname: Vahlensieck
authors.forename: K O
authors.initials: KO
authors.lastname: Stumpe
mesh_terms: D000009:Abdominal Muscles / Q000098:blood supply*; D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D001132:Arm / Q000098:blood supply*; D001458:Bandages; D003020:Clothing; D003374:Coumarins / Q000627:therapeutic use; D004487:Edema / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007866:Leg / Q000098:blood supply*; D008297:Male; D014463:Ultrasonography; D014682:Vena Cava, Inferior / Q000002:abnormalities* / Q000000981:diagnostic imaging; D014683:Vena Cava, Superior / Q000002:abnormalities* / Q000000981:diagnostic imaging; D014689:Venous Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy
chemical_list: D000925:Anticoagulants; D003374:Coumarins; C030123:coumarin