Unilateral pulmonary edema due to pulmonary venous obstruction from fibrosing mediastinitis

Fibrosing mediastinitis presenting as pulmonary stenosis: Stenting works

“…The morbidity is directly related to the location and extent of fibrosis within the mediastinum. Affected patients present with signs and symptoms of obstruction or compression of the superior vena cava, central airways, or esophagus [3]. Pulmonary artery stenosis is a rare complication of fibrosing mediastinitis [4][5][6].…”

An unusual masquerade of community acquired pneumonia: Left-side unilateral pulmonary edema

“…Unilateral oedema with ipsilateral pathology has been reported with prolonged lateral decubitus position,[6] rapid thoracentesis,[7] after acute upper airway obstruction,[8] pulmonary contusion,[9] talc pleurodesis,[10] pulmonary vein occlusion,[11] and congenital or surgical systemic to pulmonary shunt (e.g., Blalock-Taussig shunt). [12]…”

Fibrosing mediastinitis as a rare mechanism of pulmonary oedema in sarcoidosis

“…Regarding sarcoidosis, DEVARAJ et al [2] reported two cases in a series of 12 patients, with CT images and histology of fibrosing mediastinitis (16.6% of patients). Vascular obstruction due to fibrosing mediastinitis is frequent [3][4][5][6][7][8][9][10][11][12][13], particularly during histoplasmosis. Superior vena cava obstruction is the most commonly reported and is easily diagnosed.…”

“…In sarcoidosis, two cases were reported by HAMILTON-CRAIG et al [7] who were successfully treated by stent placement in the pulmonary arteries. Conversely, there are only a few cases in the literature of pulmonary venous obstruction [10][11][12][13]. This happened in three of 64 patients (4.6%) with fibrosing mediastinitis in the study by SCHOWENGERDT et al [11].…”

“…Pulmonary venous obstruction occurs gradually, so the symptoms may be delayed and the diagnosis is elusive. In the advanced stage of the disease with more than one pulmonary vein occluded, recurrent episodes of pulmonary oedema may occur and are frequently the cause of death [12][13][14].…”