Yeungnam Univ J Med.  2012 Jun;29(1):38-41. 10.12701/yujm.2012.29.1.38.

Superior Vena Cava Syndrome Without Thrombosis Found in Behcet's Disease

• Kim HS
• Kim HJ
• Hur KH
• Kim KR
• Choi JW
• Kang DW

• KMID: 2138656
• DOI: http://doi.org/10.12701/yujm.2012.29.1.38

Abstract

Behcet's disease is a rare multisystemic disorder whose main pathological defectis vasculitis, and superior vena cava (SVC) syndrome without thrombosis is a very rare manifestation of the disease. These authors encountered a case of SVC syndrome without thrombosis caused by Behcet's disease. A 33-year-old man visited the hospital for aggravated dyspnea without any related medical and familial history. He had a three-day history of abrupt swelling of the face, neck, and right arm. He suffered from recurrent oral ulcer, and there were acneiform nodules on his face as well as redness and swelling at the site of the intravenous injection. On the multi-detected computed tomography (CT) chest angiograms (chest angio MDCT), the SVC narrowed without thrombosis. Venogram was carried out, and percutaneous transluminal balloon angioplasty of the SVC stenotic site was performed. The following day, the swelling was found to have subsided. The details of the case are reported herein.

Keyword

Superior vena cava syndrome; Behcet disease

MeSH Terms

Adult
Angioplasty, Balloon
Arm
Behcet Syndrome
Dyspnea
Humans
Injections, Intravenous
Neck
Oral Ulcer
Superior Vena Cava Syndrome
Thorax
Thrombosis
Vasculitis
Vena Cava, Superior