Unilateral breast swelling as a complication of innominate vein stenosis in a hemodialysis patient

U. Yalavarthy, Vijaykumar Agrawal, A. Showkat

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

A 53-year-old African-American female with end-stage renal disease presented with 3 months history of right breast swelling. The patient had a right internal jugular tunneled catheter for dialysis access. Physical examination was significant for right breast swelling, peau d'orange appearance, and mild tenderness on palpation. Mammogram was normal.ACT scan of the chest with contrast demonstrated chest wall edema and prominent superficial collateral veins suggesting central vein obstruction. Right upper extremity venogram revealed right innominate vein occlusion up to its junction with the subclavian vein. Angioplasty of occluded segment was attempted and was unsuccessful, but right breast swelling significantly improved following the procedure. Pathogenesis, clinical manifestations and management of central vein stenosis is discussed.

Original languageEnglish (US)
JournalClinical Nephrology
Volume75
Issue numberSUPPL. 1
DOIs
StatePublished - Mar 1 2011

Fingerprint

Brachiocephalic Veins
Renal Dialysis
Veins
Pathologic Constriction
Breast
Subclavian Vein
Palpation
Thoracic Wall
Angioplasty
Upper Extremity
African Americans
Physical Examination
Chronic Kidney Failure
Dialysis
Edema
Neck
Thorax
Catheters

All Science Journal Classification (ASJC) codes

  • Nephrology

Cite this

Unilateral breast swelling as a complication of innominate vein stenosis in a hemodialysis patient. / Yalavarthy, U.; Agrawal, Vijaykumar; Showkat, A.

In: Clinical Nephrology, Vol. 75, No. SUPPL. 1, 01.03.2011.

Research output: Contribution to journalArticle

@article{c42679a2431147938fc8287bfaf71a8a,
title = "Unilateral breast swelling as a complication of innominate vein stenosis in a hemodialysis patient",
abstract = "A 53-year-old African-American female with end-stage renal disease presented with 3 months history of right breast swelling. The patient had a right internal jugular tunneled catheter for dialysis access. Physical examination was significant for right breast swelling, peau d'orange appearance, and mild tenderness on palpation. Mammogram was normal.ACT scan of the chest with contrast demonstrated chest wall edema and prominent superficial collateral veins suggesting central vein obstruction. Right upper extremity venogram revealed right innominate vein occlusion up to its junction with the subclavian vein. Angioplasty of occluded segment was attempted and was unsuccessful, but right breast swelling significantly improved following the procedure. Pathogenesis, clinical manifestations and management of central vein stenosis is discussed.",
author = "U. Yalavarthy and Vijaykumar Agrawal and A. Showkat",
year = "2011",
month = "3",
day = "1",
doi = "10.2379/CNP75056",
language = "English (US)",
volume = "75",
journal = "Clinical Nephrology",
issn = "0301-0430",
publisher = "Dustri-Verlag Dr. Karl Feistle",
number = "SUPPL. 1",

}

TY - JOUR

T1 - Unilateral breast swelling as a complication of innominate vein stenosis in a hemodialysis patient

AU - Yalavarthy, U.

AU - Agrawal, Vijaykumar

AU - Showkat, A.

PY - 2011/3/1

Y1 - 2011/3/1

N2 - A 53-year-old African-American female with end-stage renal disease presented with 3 months history of right breast swelling. The patient had a right internal jugular tunneled catheter for dialysis access. Physical examination was significant for right breast swelling, peau d'orange appearance, and mild tenderness on palpation. Mammogram was normal.ACT scan of the chest with contrast demonstrated chest wall edema and prominent superficial collateral veins suggesting central vein obstruction. Right upper extremity venogram revealed right innominate vein occlusion up to its junction with the subclavian vein. Angioplasty of occluded segment was attempted and was unsuccessful, but right breast swelling significantly improved following the procedure. Pathogenesis, clinical manifestations and management of central vein stenosis is discussed.

AB - A 53-year-old African-American female with end-stage renal disease presented with 3 months history of right breast swelling. The patient had a right internal jugular tunneled catheter for dialysis access. Physical examination was significant for right breast swelling, peau d'orange appearance, and mild tenderness on palpation. Mammogram was normal.ACT scan of the chest with contrast demonstrated chest wall edema and prominent superficial collateral veins suggesting central vein obstruction. Right upper extremity venogram revealed right innominate vein occlusion up to its junction with the subclavian vein. Angioplasty of occluded segment was attempted and was unsuccessful, but right breast swelling significantly improved following the procedure. Pathogenesis, clinical manifestations and management of central vein stenosis is discussed.

UR - http://www.scopus.com/inward/record.url?scp=79951999339&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79951999339&partnerID=8YFLogxK

U2 - 10.2379/CNP75056

DO - 10.2379/CNP75056

M3 - Article

VL - 75

JO - Clinical Nephrology

JF - Clinical Nephrology

SN - 0301-0430

IS - SUPPL. 1

ER -