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Journal of Parathyroid Disease 2018;6(2):68-71 doi: 10.15171/jpd.2018.21
Superior vena cava syndrome complicating calcific uremic arteriolopathy in an ESRD male patient on maintenance hemodialysis following failed kidney transplantation

Case Report

Macaulay Amechi Chukwukadibia Onuigbo 1,2,3,4 * , Nneoma Agbasi 5, Abdul Khan 2, Vinay Nijhawan 6, Zhibin Jiang 5

1 Mayo Clinic College of Medicine, Rochester, MN 55905, USA.
2 Department of Nephrology, Mayo Clinic Health System, Eau Claire, WI 54702, USA.
3 College of Business, University of Wisconsin MBA Consortium, Wisconsin, USA.
4 Hospital Medicine, Mayo Clinic Health System, Eau Claire, WI 54702, USA.
5 NELFT NHS Foundation Trust, Basildon Essex SS14 3EZ, United Kingdom.
6 Department of Radiology, Mayo Clinic Health System, Eau Claire, WI 54702, USA.


*Corresponding author: Macaulay Amechi Chukwukadibia Onuigbo,
Email: onuigbo.macaulay@mayo.edu


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.

Notes

Please cite this paper as: Onuigbo MAC, Khan A, Nijhawan V, Jiang Z. Superior vena cava syndrome complicating calcific uremic arteriolopathy in an ESRD male patient on maintenance hemodialysis following failed kidney transplantation J Parathyr Dis. 2018;6(2):68-71. DOI: 10.15171/jpd.2018.21.

Copyright © 2018 The Author(s); Published by Nickan Research Institute. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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Creative Commons Attribution 4.0 License This work is licensed under a Creative Commons Attribution 4.0 License.
Copyright © 2016 The Author(s)
Published by Nickan Research Institute