Necrotizing fasciitis in the anal area

Atatrk niversitesi Tp Fakltesi Acil Tp Anabilim Dal Introduction and Purpose: Superior vena cava syndrome (SVCS) is a clinical condition that occurs due to the obstruction of the superior vena cava, commonly caused by tumors or thrombosis.This syndrome is most frequently associated with malignancies and presents with symptoms such as facial, neck, and upper extremity swelling, dyspnea, and venous congestion.In this case report, we describe the evaluation of a patient who presented with post-cough facial and upper extremity swelling and dyspnea and was found to have a mass compressing the superior vena cava on imaging.Materials and Methods: An 82-year-old male patient with no known comorbidities presented with swelling in the face, neck, and upper extremities, along with dyspnea, which worsened with coughing.Upon arrival, he was normotensive, and his oxygen saturation was 83%.Physical examination revealed angioedema-like swelling in the face, neck, and upper extremities, uvular edema, and prominent venous distension in the neck and thoracic wall.Contrast-enhanced thoracic computed tomography (CT) showed a mass compressing the superior vena cava (MAGE-1).The patient was admitted to the pulmonary diseases department with a diagnosis of SVCS for further malignancy evaluation and management. MAGE-1Results and Conclusion: Superior vena cava syndrome can often be the initial manifestation of an underlying malignancy and requires prompt diagnosis and management.This case highlights the importance of considering SVCS in patients presenting with significant upper body edema and venous congestion.Early diagnosis, identification of the underlying etiology, and appropriate treatment are crucial in improving disease prognosis and patient outcomes.