Bilateral breast enlargement: an unusual presentation of superior vena cava obstruction in a hemodialysis patient with fibrosing mediastinitis.
A 67-year-old woman with end-stage renal disease presented with profound edema of both breasts. The presence of a patent hemodialysis basilic transposition fistula and superior vena cava obstruction (SVC), due to fibrosing mediastinitis, was demonstrated by the use of fistulography. Endovascular treatment with a balloon and stent caused immediate resolution of the breast edema.
Goo
Dong Erk
DE
Department of Radiology, Soonchunhyang University Hospital, 22 Daesagwan-gil, Yongsan-gu, Seoul 140-210, Republic of Korea. degoo@hosp.sch.ac.kr
Kim
Yong Jae
YJ
Choi
Deuk Lin
DL
Kwon
Kui Hyang
KH
Yang
Seung Boo
SB
D000368:Aged; D000792:Angiography; D000800:Angioplasty, Balloon; D001166:Arteriovenous Shunt, Surgical; D001940:Breast / Q000098:blood supply; D001941:Breast Diseases / Q000209:etiology* / Q000628:therapy; D003097:Collateral Circulation / Q000502:physiology; D003937:Diagnosis, Differential; D004487:Edema / Q000209:etiology* / Q000628:therapy; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D008480:Mediastinitis / Q000150:complications / Q000175:diagnosis; D006435:Renal Dialysis; D012598:Sclerosis / Q000150:complications / Q000175:diagnosis; D015607:Stents; D013479:Superior Vena Cava Syndrome / Q000175:diagnosis* / Q000628:therapy; D014057:Tomography, X-Ray Computed