CT Case 038
A 60-year-old man presents with chronic cough, worse in the last 2 weeks with new hoarse voice and new left upper limb swelling. He also has mild pleuritic left sided chest pain.
Tag Pemberton sign
Hugh Pemberton
Hugh Spear Pemberton (1890-1956) was an English physician. Pemberton's description of his manoeuvre and Pemberton Sign appeared in a brief letter to The Lancet in 1946
SVC Obstruction DDx
Obstruction of the superior vena cava results from mediastinal mass lesions. Features include a plethoric and cyanosed face with periorbital oedema, exophthalmos, conjunctival injection, and venous dilatation in the fundi, distended non-pulsatile neck veins and a positive Pemberton sign.
Superior Vena Cava (SVC) Obstruction
Superior vena cava (SVC) obstruction impairs venous return through the SVC to the right atrium and has many causes, usually mediastinal masses or complications of SVC lines