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Dysphagia as a manifestation in superior vena cava syndrome

2024; BMJ; Volume: 17; Issue: 9 Linguagem: Inglês

10.1136/bcr-2023-257231

1757-790X

Noelia Ortega Beltrá, Sara María Ferrero Coloma, Manuel Matías Sánchez, Francisco Pons Rocher,

Vascular anomalies and interventions

The differential diagnosis of dysphagia and dyspnoea with cervicofacial oedema is wide and includes diseases with variable prognosis that may require an urgent approach. This article presents the case of a middle-aged man who came to the emergency room referring to the symptoms described, with a history of central venous access established approximately 4 years ago. The patient was diagnosed with superior vena cava syndrome and treated with anticoagulants and removal of the catheter. After a week of admission with anticoagulation, the patient clinically improved with a considerable decrease in thrombus and pharyngolaryngeal and subcutaneous mucosal oedema. In the differential diagnosis of dysphagia and dyspnoea, we must also consider systemic diseases, and more specifically, these symptoms such as those described, and think about this entity because of its severity.