ABSTRACT
Intravascular lipomas (IVL) located in the superior vena cava (SVS) are rare benign primary venous tumors with less than 15 cases reported in the literature. We report a case of a 64-year-old woman with IVL of the SVC extending to the right brachiocephalic vein. She was treated successfully using a hybrid procedure which involved endovascular control of the right subclavian vein and surgical approach via median sternotomy followed by mass resection and use of pericardial patch for vein defect closure.
Subject(s)
Lipoma , Vena Cava, Superior , Female , Humans , Middle Aged , Vena Cava, Superior/diagnostic imaging , Vena Cava, Superior/surgery , Treatment Outcome , Brachiocephalic Veins/diagnostic imaging , Brachiocephalic Veins/surgery , Brachiocephalic Veins/pathology , Subclavian Vein , Lipoma/diagnostic imaging , Lipoma/surgery , Lipoma/pathologyABSTRACT
More than 200000 hospital admissions happen per year for acute pancreatitis and more than 50000 for chronic pancreatitis in the United States of America. Necrotizing pancreatitis accounts for 20%-30% of the cases. One-quarter of the patients with pancreatitis develop vascular complications, which carries a high mortality. This mini-review will address these complications that can help primary care physicians and hospitalists in managing their patients effectively.
