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CC BY-NC 4.0 · Arch Plast Surg 2018; 45(02): 171-176
DOI: 10.5999/aps.2016.02047
Case Report

Reduction mammoplasty as a treatment for symptomatic central venous stenosis

Denise Seok Fun Fok
Department of Plastic, Reconstructive and Aesthetic Surgery, Singapore General Hospital, Singapore
,
Janna Joethy
Department of Plastic, Reconstructive and Aesthetic Surgery, Singapore General Hospital, Singapore
› Author AffiliationsWe would like to acknowledge Mr. Yeo Jian Long from the Office of Singhealth Academy for providing the illustrations for this article.
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Central venous stenosis is a rare cause of unilateral breast edema occurring in hemodialysis patients that needs to be differentiated from other differential diagnoses, including, but not limited to, inflammatory breast carcinoma, mastitis, lymphedema, and congestive heart failure. All reports of similar cases in the available literature have described improvement or resolution of the edema after treatment. Herein, we report and discuss the pathophysiology of breast edema formation in a patient who presented with massive left-sided breast edema 7 years after being diagnosed with central venous stenosis. Medical and minimally invasive therapy had not been successful, so she underwent reduction mammoplasty to relieve the symptoms.

Keywords

Breast - Edema - Axillary vein - Upper extremity deep vein thrombosis


Publication History

Received: 06 December 2016

Accepted: 26 May 2017

Article published online:
22 May 2022

© 2018. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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