title: Intermittent facial swelling.
abstract: Intermittent facial swelling is an unusual presentation in the emergency department. The differential diagnosis may range from a variety of causes. Most common differential diagnosis is angio-oedema. However, more serious presentations such as superior venacaval obstruction must not be ignored. This case report presents a patient who was investigated in the hospital for 2 weeks (2 admissions) with intermittent facial swelling. He presented to the emergency department (3rd admission) and was diagnosed to have superior venacaval obstruction secondary to metastatic bronchogenic carcinoma. He underwent emergency endovascular stenting; however, he died within a few weeks.
authors.affiliation: Anaesthetic Department, Morriston Hospital, Swansea, UK.
authors.forename: Charlie
authors.initials: C
authors.lastname: Pope
authors.affiliation: Intensive Care Department, Morriston Hospital, Swansea, UK.
authors.forename: Suresh Kumar Gopala
authors.initials: SK
authors.lastname: Pillai
mesh_terms: D000369:Aged, 80 and over; D000799:Angioedema / Q000175:diagnosis; D002283:Carcinoma, Bronchogenic / Q000150:complications*; D003937:Diagnosis, Differential; D004487:Edema / Q000209:etiology*; D005145:Face; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications*; D008297:Male; D013479:Superior Vena Cava Syndrome / Q000150:complications* / Q000175:diagnosis* / Q000209:etiology