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Case report
Superior vena cava syndrome due to mediastinal Gardner fibroma presenting as syncope
  1. Robin George Manappallil1,
  2. Harilal Nambiar2,
  3. Neena Mampilly3 and
  4. Della Harigovind4
  1. 1Internal Medicine, Baby Memorial Hospital, Calicut, Kerala, India
  2. 2Cardiothoracic and Vascular Surgery, Baby Memorial Hospital, Calicut, Kerala, India
  3. 3Pathology, Baby Memorial Hospital, Calicut, Kerala, India
  4. 4Radio-diagnosis and Imaging, Baby Memorial Hospital, Calicut, Kerala, India
  1. Correspondence to Dr Robin George Manappallil; drrobingeorgempl{at}gmail.com

Abstract

Superior vena cava (SVC) syndrome refers to the clinical manifestation due to an obstruction in the SVC; resulting in decreased venous return from the head, neck and upper extremities. The obstruction can occur either due to tumour invasion of the vessel wall with associated thrombus or due to vessel wall compression by the tumour mass. The patient being reported is a young male who presented with recurrent episodes of syncope and was found to have mediastinal Gardner fibroma causing SVC syndrome. Gardner fibroma is a benign soft tissue lesion; and its occurrence in the mediastinum resulting in SVC syndrome has not been reported yet.

  • Gardner fibroma
  • superior vena cava syndrome
  • pulmonary artery hypertension
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Footnotes

  • Contributors RGM: concept and design, manuscript preparation, revision of manuscript and treating physician; HN: critical revision of manuscript and treating cardiothoracic surgeon; NM: critical revision of manuscript and pathologist; DH: critical revision of manuscript and radiologist.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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