Korean J Fam Med 2017; 38(3): 166-168  https://doi.org/10.4082/kjfm.2017.38.3.166
Superior Vena Cava Syndrome Due to Mediastinal Tuberculous Lymphadenitis
Jin Ho Jang, Doosoo Jeon, Yun Seong Kim, Woo Hyun Cho, Hye Ju Yeo*
Department of Internal Medicine, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea
Hye Ju Yeo Tel: +82-55-360-2120, Fax: +82-55-360-2157, E-mail: dugpwn@naver.com
Received: July 13, 2016; Revised: August 29, 2016; Accepted: September 9, 2016; Published online: May 20, 2017.
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Abstract
Superior vena cava (SVC) syndrome refers to a medical emergency resulting from compression of the SVC. It requires early diagnosis and treatment, and is usually caused by malignant tumors; rarely, mediastinal tuberculous lymphadenitis can cause SVC syndrome. Here, we present a case study of an immunocompetent 61-year-old woman who presented with acute onset SVC syndrome and was diagnosed with tuberculous lymphadenitis on thoracotomy; the symptoms resolved with anti-tuberculosis therapy. This unusual case highlights the importance of the differential diagnosis in patients presenting with acute onset SVC syndrome; a timely diagnosis and appropriate treatment lead to complete recovery.
Keywords: Superior vena Cava Syndrome; Lymphadenitis; Tuberculosis; Thoracotomy


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