Document Detail

Acute superior vena cava obstruction following Ivor-Lewis oesophagectomy.
MedLine Citation:
PMID:  20615308     Owner:  NLM     Status:  MEDLINE    
A 53 year old man developed upper body swelling, hypotension, anuria and a metabolic acidosis within 24 h following an Ivor-Lewis oesophagectomy. His co-morbidities included hypertension, hypercholesterolaemia, ischaemic heart disease and he was a smoker. He did not have radiotherapy but had received neo-adjuvant chemotherapy through an in-dwelling right subclavian central venous catheter. Azygous vein ligation during oesophagectomy resulted in acute upper body venous hypertension and signs of hypovolaemic shock which were attributed to undiagnosed thrombotic occlusion of the superior vena cava. The patient was anticoagulated and made a full recovery after a period of stay in intensive care.
A Hay; A Hamouda; N Bland; A Rohatgi; A Botha
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-07-07
Journal Detail:
Title:  Annals of the Royal College of Surgeons of England     Volume:  92     ISSN:  1478-7083     ISO Abbreviation:  Ann R Coll Surg Engl     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-09-07     Completed Date:  2010-10-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7506860     Medline TA:  Ann R Coll Surg Engl     Country:  England    
Other Details:
Languages:  eng     Pagination:  W37-8     Citation Subset:  IM    
St Thomas' Hospital, Lambeth, London, UK.
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MeSH Terms
Acute Disease
Adenocarcinoma / surgery
Esophageal Neoplasms / surgery
Esophagectomy / adverse effects*
Middle Aged
Superior Vena Cava Syndrome / etiology*,  radiography

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