Superior vena caval obstruction from thrombus


This is a gentleman with a known history of metastatic esophageal cancer and has been on long term therapeutic clexane for bilateral pulmonary embolism in the last few months. In this presentation, the patient's symptoms were highly suspicious for SVC obstruction. His SVC thrombosis could be due to hypercoagulable state secondary to underlying malignancy or possibly a clotting disorder.