Bilateral brachiocephalic vein compression: an unusual and rare presentation of multinodular goitre
| Autor: | David C. Howlett, Joseph Dalby Sinnott, Caitlin Jane McNeill |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Thoracic outlet
medicine.medical_specialty Superior Vena Cava Syndrome Goiter Article 03 medical and health sciences 0302 clinical medicine Superior vena cava Medicine Humans 030212 general & internal medicine Brachiocephalic vein Brachiocephalic Veins Aged 80 and over Rib cage business.industry General Medicine Multinodular goitre medicine.disease Surgery Airway Compromise medicine.anatomical_structure 030220 oncology & carcinogenesis cardiovascular system Upper limb Female Radiology business Tomography X-Ray Computed Goiter Nodular |
| Zdroj: | BMJ case reports. 2016 |
| ISSN: | 1757-790X |
| Popis: | An interesting and rare case where a longstanding multinodular goitre causes sudden onset symptoms of superior vena cava obstruction. The symptoms were caused by bilateral brachiocephalic vein compression against the first rib. The patient's symptoms included upper limb and facial swelling, whereas her lower limbs were not oedematous (figure 1). The patient underwent CT imaging which showed a multinodular retrosternal thyroid filling the space created by the first rib, sometimes known as the thoracic outlet. The goitre expanded sufficiently to compress the brachiocephalic vein on both sides as shown in figures 2 and 3. This prevented venous drainage from the upper limbs and head. The goitre was also large enough to cause deviation of the trachea although there was no airway compromise. This case is interesting as it is very rare for a benign condition such as a multinodular goitre to cause symptoms of superior vena cava obstruction. |
| Databáze: | OpenAIRE |
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