Bleeding "downhill" varices: a rare complication of intrathoracic goiter.
case_report · Level V
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Abstract
We report a case of a 68-year-old woman with a 16-year history of a benign goiter. The patient presented with hematemesis and a clinically evident superior vena cava syndrome. Preoperative evaluation demonstrated upper esophageal varices and large posterior mediastinal goiter. The patient underwent successful resection of the mass with complete resolution of both the superior vena cava syndrome and "downhill" varices.
Medical subject headings
- Esophageal and Gastric Varices
- Gastrointestinal Hemorrhage
- Goiter, Substernal