Case Reports
June 30, 2004
Vol. 61 No. 2 (2004): Pulmonary series
https://doi.org/10.4081/monaldi.2004.711

Fibrosing mediastinitis causing rapidly progressive dyspnea, pulmonary edema and death in a 16 yr old male

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Fibrosing mediastinitis, postcapillary pulmonary hypertension, pulmonary edema, superior vena cava syndrome
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Authors

K. Malagari
kmalag@acn.gr
2nd Department of Radiology, Athens Medical School, National and Capodistrian University of Athens, “Evgenidion” Hospital, 20 Athens, Greece.
S. Papiris
Department of Pulmonary and Critical Care Medicine, Athens Medical School, National and Capodistrian University of Athens, “Evangelismos” General Hospital Athens, Greece.
Idiopathic fibrosing mediastinitis is a rare entity involving more severely the more compliant structures within the mediastinum. In this report a rare case of simultaneous involvement of both the superior vena cava (SVC) and pulmonary veins is described in a 16 – year old male with progressive dyspnea on exertion, cough and a three months’ history of blood – tinged sputum. Physical examination and imaging studies revealed signs of pulmonary venous hypertension (PVH) and SVC stenosis. Fibrosing mediastinitis was confirmed by multiple biopsy samples.

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“Fibrosing Mediastinitis Causing Rapidly Progressive Dyspnea, Pulmonary Edema and Death in a 16 Yr Old Male”. 2004. Monaldi Archives for Chest Disease 61 (2). https://doi.org/10.4081/monaldi.2004.711.