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Obui-himo syndrome

Y Imanishi1, K Baba, T Fukushima

  • 1Department of Radiology, St. Marianna University Tohyoko Hospital, 3-435 Kosugi-chou, Nakahara-ku, Kawasaki, Kanagawa-ken 211, Japan.

European Radiology
|September 2, 1998
PubMed
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A rare venous system variant caused cyanosis and arm swelling in an infant due to a special carrying band. Venography revealed absence of the cephalic vein and axillary vein compression, highlighting the need for venography in similar cases.

Area of Science:

  • Vascular anatomy
  • Pediatric venous anomalies
  • Medical case reports

Background:

  • Normal venous system variants are common and usually asymptomatic.
  • Infants may present with unusual symptoms related to congenital venous anomalies.
  • Cultural practices involving infant carrying can sometimes exacerbate underlying medical conditions.

Observation:

  • A 5-month-old infant exhibited cyanosis and arm swelling when carried using a traditional "Obui-himo" band.
  • Symptoms were transient and directly correlated with the use of the carrying band.
  • Physical examination revealed swelling in the arms, suggesting venous obstruction.

Findings:

  • Venography confirmed the absence of the cephalic vein, a rare venous anomaly.
  • Compression of the axillary veins by the "Obui-himo" band was identified as the cause of obstruction.

Related Experiment Videos

  • The combination of venous anomaly and external compression led to the observed symptoms.

    • Implications:

    • This case highlights a rare cause of cyanosis and arm swelling in infants related to venous anomalies.
    • "Obui-himo" carrying bands, or similar cultural practices, can precipitate symptoms in susceptible individuals.
    • Venography is a crucial diagnostic tool for evaluating suspected venous obstructions, especially when linked to external compression and congenital anomalies.