Superior vena cava syndrome complicating calcific uremic arteriolopathy in an ESRD male patient on maintenance hemodialysis following failed kidney transplantation

M. Onuigbo, N. Agbasi, A. Khan, Vinay Nijhawan, Zhibin Jiang
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Abstract

We described the unusual presentation of right unilateral facial swelling in a 48-year old end-stage renal disease (ESRD) male patient on maintenance hemodialysis following a failed kidney transplant. This was subsequently confirmed to be secondary to the extrinsic compression of the superior vena cava (SVC) by a large lobulated amorphous extra-osseous right axillary mass lesion that extended into the upper right thoracic outlet. Superior vena cava venogram and balloon angioplasty led to symptomatic relief. The factors involved in the pathogenesis of calciphylaxis are discussed and the available therapeutic options for this rare albeit debilitating disease are reviewed.
肾移植失败后进行维持性血液透析的ESRD男性患者上腔静脉综合征并发钙化尿毒症小动脉病变
我们描述了一位48岁终末期肾病(ESRD)男性患者在肾移植失败后进行维持性血液透析的不寻常的右侧单侧面部肿胀。随后证实,这是继发于上腔静脉(SVC)的外源性压迫,由一个大的分叶状无定形右腋窝骨外肿块病变延伸到右上胸廓出口。上腔静脉造影和球囊血管成形术使症状得到缓解。本文讨论了涉及钙化反应发病机制的因素,并回顾了这种罕见但使人衰弱的疾病的可用治疗选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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