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Superior vena cava obstruction presenting with epistaxis, haemoptysis and gastro-intestinal haemorrhage in two men receiving haemodialysis with central venous catheters: two case reports

INTRODUCTION: Superior vena cava (SVC) obstruction secondary to central venous catheterization is an increasingly recognized complication. CASE PRESENTATION: We present two cases of superior vena cava obstruction secondary to indwelling central venous catheters used for haemodialysis access. One of...

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Autores principales: Gopaluni, Seerapani, Warwicker, Paul
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2726544/
https://www.ncbi.nlm.nih.gov/pubmed/19830100
http://dx.doi.org/10.1186/1752-1947-3-6180
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author Gopaluni, Seerapani
Warwicker, Paul
author_facet Gopaluni, Seerapani
Warwicker, Paul
author_sort Gopaluni, Seerapani
collection PubMed
description INTRODUCTION: Superior vena cava (SVC) obstruction secondary to central venous catheterization is an increasingly recognized complication. CASE PRESENTATION: We present two cases of superior vena cava obstruction secondary to indwelling central venous catheters used for haemodialysis access. One of the patients developed the unusual complications of torrential epistaxis and haemoptysis, which has been reported only once so far in the literature. The other patient developed melaena secondary to downhill oesophageal varices. We briefly discuss the pathophysiology, symptoms and signs, investigations and management of superior vena cava obstruction and thrombosis. CONCLUSION: Increasing use of central venous access for haemodialysis will increase the incidence of central venous stenosis, thrombosis and exhaustion. Superior vena cava obstruction is likely to be an increasingly recognised complication of vascular access in the future.
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spelling pubmed-27265442009-10-14 Superior vena cava obstruction presenting with epistaxis, haemoptysis and gastro-intestinal haemorrhage in two men receiving haemodialysis with central venous catheters: two case reports Gopaluni, Seerapani Warwicker, Paul J Med Case Reports Case report INTRODUCTION: Superior vena cava (SVC) obstruction secondary to central venous catheterization is an increasingly recognized complication. CASE PRESENTATION: We present two cases of superior vena cava obstruction secondary to indwelling central venous catheters used for haemodialysis access. One of the patients developed the unusual complications of torrential epistaxis and haemoptysis, which has been reported only once so far in the literature. The other patient developed melaena secondary to downhill oesophageal varices. We briefly discuss the pathophysiology, symptoms and signs, investigations and management of superior vena cava obstruction and thrombosis. CONCLUSION: Increasing use of central venous access for haemodialysis will increase the incidence of central venous stenosis, thrombosis and exhaustion. Superior vena cava obstruction is likely to be an increasingly recognised complication of vascular access in the future. BioMed Central 2009-05-27 /pmc/articles/PMC2726544/ /pubmed/19830100 http://dx.doi.org/10.1186/1752-1947-3-6180 Text en Copyright ©2009 Gopaluni and Warwicker et al; licensee Cases Network Ltd. licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case report
Gopaluni, Seerapani
Warwicker, Paul
Superior vena cava obstruction presenting with epistaxis, haemoptysis and gastro-intestinal haemorrhage in two men receiving haemodialysis with central venous catheters: two case reports
title Superior vena cava obstruction presenting with epistaxis, haemoptysis and gastro-intestinal haemorrhage in two men receiving haemodialysis with central venous catheters: two case reports
title_full Superior vena cava obstruction presenting with epistaxis, haemoptysis and gastro-intestinal haemorrhage in two men receiving haemodialysis with central venous catheters: two case reports
title_fullStr Superior vena cava obstruction presenting with epistaxis, haemoptysis and gastro-intestinal haemorrhage in two men receiving haemodialysis with central venous catheters: two case reports
title_full_unstemmed Superior vena cava obstruction presenting with epistaxis, haemoptysis and gastro-intestinal haemorrhage in two men receiving haemodialysis with central venous catheters: two case reports
title_short Superior vena cava obstruction presenting with epistaxis, haemoptysis and gastro-intestinal haemorrhage in two men receiving haemodialysis with central venous catheters: two case reports
title_sort superior vena cava obstruction presenting with epistaxis, haemoptysis and gastro-intestinal haemorrhage in two men receiving haemodialysis with central venous catheters: two case reports
topic Case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2726544/
https://www.ncbi.nlm.nih.gov/pubmed/19830100
http://dx.doi.org/10.1186/1752-1947-3-6180
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