%0 Journal Article
%T A Case of Superior Vena Cava Syndrome in Pregnancy within a Developing Country in Sub-Saharan Africa
%A Bariki
%A JW
%A Lawrence
%A Mchome
%A Mlay
%A PS
%A Schmitt
%J -
%D 2018
%R 10.18314/cogo.v1i1.1025
%X Introduction Superior Vena Cava Syndrome is a rare but potentially life-threatening condition that can occur during pregnancy. The case presented here describes a dramatic presentation culminating in a potentially preventable maternal death at a tertiary hospital in East Africa. Case presentation A HIV positive, 28 years old primegravida at a gestational age of 34 weeks presented to a tertiary health facility in Nothern Tanzania with generalised facial swelling and difficult in breathing .She was referred from primary health facility where she was treated presumptively as a case of Ludwings angina. On examination she was dyspnoeic and had extensive supraclavicular and cervical lymphadenopathy. On second day post-admission, she was induced ,but later her condition deteriorated and developed severe dyspnoeic, confusion, convulsions and died. A Narrative of this case, challenges encountered in investigating, establish a diagnosis and management are explored in this case report. Furthermore pathophysiology and treatment options for superior venal caval occurring in pregnancy will be reviewed. Conclusion Superior vena syndrome is a fatal condition and rare to occur in pregnancy. A rigorous and timely approach to investigate and manage is of a critical importance. Additionally a collaborative multidisciplinary team approach is necessary to prevent complication
%U https://www.gratisoa.org/journals/index.php/COGO/article/view/1025