Arch Plast Surg.  2018 Mar;45(2):171-176. 10.5999/aps.2016.02047.

Reduction mammoplasty as a treatment for symptomatic central venous stenosis

• Fok DS
• Joethy J

• KMID: 2409463
• DOI: http://doi.org/10.5999/aps.2016.02047

Abstract

Central venous stenosis is a rare cause of unilateral breast edema occurring in hemodialysis patients that needs to be differentiated from other differential diagnoses, including, but not limited to, inflammatory breast carcinoma, mastitis, lymphedema, and congestive heart failure. All reports of similar cases in the available literature have described improvement or resolution of the edema after treatment. Herein, we report and discuss the pathophysiology of breast edema formation in a patient who presented with massive left-sided breast edema 7 years after being diagnosed with central venous stenosis. Medical and minimally invasive therapy had not been successful, so she underwent reduction mammoplasty to relieve the symptoms.

Keyword

Breast; Edema; Axillary vein; Upper extremity deep vein thrombosis

MeSH Terms

Axillary Vein
Breast
Constriction, Pathologic*
Diagnosis, Differential
Edema
Female
Heart Failure
Humans
Inflammatory Breast Neoplasms
Lymphedema
Mammaplasty*
Mastitis
Renal Dialysis
Upper Extremity Deep Vein Thrombosis