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Images in vascular medicine:Recurrent swelling of the left supraclavicular fossa

Vascular Medicine 2004; 9: 141À143 Images in vascular medicine Recurrent swelling of the left supraclavicular fossa Ulrich Dendorfer, Antje Rademacher, Johannes Rieger and Ulrich Hoffmann Panel A A 33-year-old woman presented with a painless swelling in the left supraclavicular groove extending to the side of the neck. She reported that the swelling had occurred several times previously over the course of 3 years in the same location and had always regressed spontaneously within 5 days. An inciting event preceding the episodes was not apparent. The swelling was accompanied by diffuse abdominal and flank tenderness, fullness, and flatulence. The patient noted an increase in waist circumference and a weight gain of 1À2 kg. Other symptoms were absent, such as constitutional complaints, dyspnea, loss of appetite, nausea and vomiting, change in bowel habits, or peripheral edema. The medical history was otherwise unremarkable, except for allergic reactions against usual substances (house dust, pollen). The physical examination revealed a marked diffuse swelling, as shown in Panel A, without skin erythema or urticaria. A firm, painless nodule of approximately 3 cm was palpable dorsal to the sternocleidomastoid muscle. Diffuse abdominal tenderness could be elicited by palpation, but there were normal peristaltic sounds and http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Vascular Medicine SAGE

Images in vascular medicine:Recurrent swelling of the left supraclavicular fossa

Abstract

Vascular Medicine 2004; 9: 141À143 Images in vascular medicine Recurrent swelling of the left supraclavicular fossa Ulrich Dendorfer, Antje Rademacher, Johannes Rieger and Ulrich Hoffmann Panel A A 33-year-old woman presented with a painless swelling in the left supraclavicular groove extending to the side of the neck. She reported that the swelling had occurred several times previously over the course of 3 years in the same location and had always regressed spontaneously within 5 days. An inciting event preceding the episodes was not apparent. The swelling was accompanied by diffuse abdominal and flank tenderness, fullness, and flatulence. The patient noted an increase in waist circumference and a weight gain of 1À2 kg. Other symptoms were absent, such as constitutional complaints, dyspnea, loss of appetite, nausea and vomiting, change in bowel habits, or peripheral edema. The medical history was otherwise unremarkable, except for allergic reactions against usual substances (house dust, pollen). The physical examination revealed a marked diffuse swelling, as shown in Panel A, without skin erythema or urticaria. A firm, painless nodule of approximately 3 cm was palpable dorsal to the sternocleidomastoid muscle. Diffuse abdominal tenderness could be elicited by palpation, but there were normal peristaltic sounds and
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