Terlonge Gilles, Bialas Aline, Charpentier Stéphanie, Wahlen Christian, Radermecker Marc
Service des Urgences, CHU Liège, Belgique.
Service des Urgences, Clinique André Renard, Herstal, Belgique.
Rev Med Liege. 2024 Jul;79(7-8):535-537.
Superior vena cava syndrome (SVCS) is a clinical picture resulting from the obstruction of superior vena cava. SVCS usually causes symptoms and signs related to the head, the neck, the upper extremities and the upper thorax. We report a case of unusual clinical presentation of SVCS in a 25-year-old male patient who suffered from lymphoblastic lymphoma in childhood. Clinicians should be aware of abdominal wall presentations of SVCS especially in patients having undergone central venous catheterization, even years before. SVCS could be an emergency situation, requiring specific treatment or contraindicating surgical procedures.
上腔静脉综合征(SVCS)是上腔静脉阻塞导致的一种临床表现。SVCS通常会引起与头部、颈部、上肢及上胸部相关的症状和体征。我们报告一例25岁男性患者出现的不寻常SVCS临床表现,该患者童年时曾患淋巴细胞性淋巴瘤。临床医生应注意SVCS的腹壁表现,尤其是曾接受中心静脉置管的患者,即使是数年前置管的患者。SVCS可能是一种紧急情况,需要特殊治疗或禁忌进行外科手术。