Therapeutic approach to downhill esophageal varices due to SVC syndrome in Behcet ’ s disease : a case report

نویسندگان

  • Hamid Tavakkoli
  • Mehrnaz Asadi
  • Mahshid Haghighi
  • Abbas Esmaeili
چکیده

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Bleeding ‘downhill’ esophageal varices associated with benign superior vena cava obstruction: case report and literature review

BACKGROUND Proximal or 'downhill' esophageal varices are a rare cause of upper gastrointestinal hemorrhage. Unlike the much more common distal esophageal varices, which are most commonly a result of portal hypertension, downhill esophageal varices result from vascular obstruction of the superior vena cava (SVC). While SVC obstruction is most commonly secondary to malignant causes, our review of...

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Behçet's disease-related superior vena cava syndrome and bleeding downhill varices: A rare complication.

Obstruction of the superior vena cava (SVC) due to any cause results in development of venous collaterals in the upper part of the esophagus, known as "downhill" varices. Although rare, bleeding can be life-threatening. Presently described is case of Behçet's diseaserelated SVC occlusion in a patient who presented with gastrointestinal bleeding from upper esophageal varices.

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Therapeutic approach to "downhill" esophageal varices bleeding due to superior vena cava syndrome in Behcet's disease: a case report

BACKGROUND One of the rare presentations of superior vena cava syndrome is bleeding of "downhill" esophageal varices (DEV) and different approaches have been used to control it. This is a case report whose DEV was eradicated by band ligation for the first time. CASE PRESENTATION We report a 42-year-old man who is a known case of Behcet's disease. The patient's first presentation was superior ...

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Torrential upper gastrointestinal bleeding from 'downhill' oesophageal varices complicating long term central venous access for total parenteral nutrition.

Oesophageal varices usually develop in the setting of portal hypertension secondary to chronic liver disease. However, superior vena cava (SVC) obstruction can result in 'downhill' varices forming in the upper oesophagus. A case of torrential upper gastrointestinal bleeding from SVC obstruction due to chronic central venous access for home total parenteral nutrition is described. It is suggeste...

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Superior Vena Cava Syndrome due to Thrombosis: A Rare Paraneoplastic Presentation of Bronchogenic Carcinoma

Superior vena cava (SVC) syndrome is not an uncommon occurrence in patients with malignancy and it is often described as a medical emergency. In majority of the cases, SVC syndrome occurs due to mechanical obstruction of the SVC by extraluminal compression with primary intrathoracic malignancies. However, intraluminal obstruction due to thrombosis can also produce symptoms and signs of SVC synd...

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تاریخ انتشار 2006