title: Bleeding "downhill" varices: a rare complication of intrathoracic goiter.
abstract: We report a case of a 68-year-old woman with a 16-year history of a benign goiter. The patient presented with hematemesis and a clinically evident superior vena cava syndrome. Preoperative evaluation demonstrated upper esophageal varices and large posterior mediastinal goiter. The patient underwent successful resection of the mass with complete resolution of both the superior vena cava syndrome and "downhill" varices.
authors.affiliation: Division de Chirurgie Thoracique, Centre de Pneumologie de L'Hôpital Laval, Sainte-Foy, Québec, Canada.
authors.forename: Eric L R
authors.initials: EL
authors.lastname: Bédard
authors.forename: Jean
authors.initials: J
authors.lastname: Deslauriers
mesh_terms: D000368:Aged; D003097:Collateral Circulation; D004932:Esophageal and Gastric Varices / Q000209:etiology* / Q000601:surgery; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000601:surgery; D006045:Goiter, Substernal / Q000150:complications* / Q000601:surgery; D006396:Hematemesis / Q000209:etiology; D006801:Humans; D013479:Superior Vena Cava Syndrome / Q000209:etiology