A Case of a Constricted Vessel: The Impact of Acute Myeloid Leukemia on the Superior Vena Cava.
| Autor: | Desai P; Internal Medicine, Gujarat Adani Institute of Medical Sciences, Bhuj, IND., Mistry D; Internal Medicine, Gujarat Adani Institute of Medical Sciences, Bhuj, IND., Kothari J; Internal Medicine, Gujarat Medical Education & Research Society (GMERS) Medical College and Hospital, Gandhinagar, IND., Gupta A; Internal Medicine, Dr. Panjabrao Alias Bhausaheb Deshmukh Memorial Medical College, Amravati, IND., Panchagnula K; Internal Medicine, Kasturba Medical College, Manipal, Bengaluru, IND., Singh G; Internal Medicine, Universidad Latina de Panama, Panama, PAN., Baskar A; Internal Medicine, K.A.P. Viswanatham Government Medical College, Tiruchirappalli, IND., Pathak Y; Internal Medicine, Baylor St. Luke's Medical Center, Houston, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2023 Nov 28; Vol. 15 (11), pp. e49616. Date of Electronic Publication: 2023 Nov 28 (Print Publication: 2023). |
| DOI: | 10.7759/cureus.49616 |
| Abstrakt: | Acute myeloid leukemia (AML) is the most prevalent form of leukemia in adults, with rising global incidence rates. AML usually presents with non-specific clinical features such as pallor, fever, and bleeding. This case report discusses a unique presentation of AML, where a 25-year-old female with a history of hypertension presented with unilateral facial swelling, chest pain, and shortness of breath. Radiologic investigations revealed a mediastinal mass encasing the superior vena cava (SVC), confirming the suspicion of SVC syndrome. Upon testing with a biopsy, the mass was found to be composed of immature myeloid cells confirming the diagnosis of myeloid sarcoma-associated AML. The patient's treatment involved a combination of surgical debridement, induction chemotherapy, supportive care, and management of complications. This case highlights that despite its common occurrence, AML may present with atypical clinical manifestations such as SVC syndrome, posing challenges in its diagnosis and timely management. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Desai et al.) |
| Databáze: | MEDLINE |
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