BACKGROUND Azygos vein aneurysms are extremely rare,and their pathogenesis is not clear.The overwhelming majority of patients have no obvious clinical symptoms and are found to have the disease by physical examination...BACKGROUND Azygos vein aneurysms are extremely rare,and their pathogenesis is not clear.The overwhelming majority of patients have no obvious clinical symptoms and are found to have the disease by physical examination or by chance.There are few reports on the diagnosis of and treatment strategy for this disease.Moreover,the choice of therapeutic schedule and the treatment window are controversial.CASE SUMMARY We report a case of azygos vein arch aneurysm in a 53-year-old woman.The patient had symptoms of back pain,chest tightness,and choking.Enhanced chest computed tomography showed a soft-tissue mass in the right posterior mediastinum,which was connected to the superior vena cava.The enhancement degree in the venous phase was the same as that of the superior vena cava.The patient received video-assisted thoracoscopic surgery.After the operation,her back pain disappeared,and her dysphagia and chest tightness were also significantly relieved.The postoperative pathology confirmed hemangioma.The patient was discharged on the seventh day after surgery without any complications.CONCLUSION Some patients with hemangioma of the azygos vein arch may experience dysphagia and chest tightness caused by the tumor compressing the esophagus and trachea.Enhanced computed tomography scanning is vital for the diagnosis of azygos vein aneurysms.In addition,despite the difficulty and risk of surgery,thoracoscopic surgery for azygos vein aneurysms is completely feasible.展开更多
Rupture of the azygos vein caused by blunt trauma is rare. According to the literature there are total of 21cases of azygos vein injury since 1978 although the actual occurrence number may be much higher.^1,2 Mostly, ...Rupture of the azygos vein caused by blunt trauma is rare. According to the literature there are total of 21cases of azygos vein injury since 1978 although the actual occurrence number may be much higher.^1,2 Mostly, it is the result of traffic accidents. If the diagnosis and treatment is delayed, patients will be dying of bleeding and hemorrhagic shock. So far its mortality rate is about 40% for patients with ruptured azygos vein even if they underwent operation^3 We present a patient who had blunt trauma on his left chest, which caused right haemothorax due to ruptured azygos vein.展开更多
基金Science and Technology Development Plan Project of Jilin Province,China,No.JJKH20201060KJ.
文摘BACKGROUND Azygos vein aneurysms are extremely rare,and their pathogenesis is not clear.The overwhelming majority of patients have no obvious clinical symptoms and are found to have the disease by physical examination or by chance.There are few reports on the diagnosis of and treatment strategy for this disease.Moreover,the choice of therapeutic schedule and the treatment window are controversial.CASE SUMMARY We report a case of azygos vein arch aneurysm in a 53-year-old woman.The patient had symptoms of back pain,chest tightness,and choking.Enhanced chest computed tomography showed a soft-tissue mass in the right posterior mediastinum,which was connected to the superior vena cava.The enhancement degree in the venous phase was the same as that of the superior vena cava.The patient received video-assisted thoracoscopic surgery.After the operation,her back pain disappeared,and her dysphagia and chest tightness were also significantly relieved.The postoperative pathology confirmed hemangioma.The patient was discharged on the seventh day after surgery without any complications.CONCLUSION Some patients with hemangioma of the azygos vein arch may experience dysphagia and chest tightness caused by the tumor compressing the esophagus and trachea.Enhanced computed tomography scanning is vital for the diagnosis of azygos vein aneurysms.In addition,despite the difficulty and risk of surgery,thoracoscopic surgery for azygos vein aneurysms is completely feasible.
文摘Rupture of the azygos vein caused by blunt trauma is rare. According to the literature there are total of 21cases of azygos vein injury since 1978 although the actual occurrence number may be much higher.^1,2 Mostly, it is the result of traffic accidents. If the diagnosis and treatment is delayed, patients will be dying of bleeding and hemorrhagic shock. So far its mortality rate is about 40% for patients with ruptured azygos vein even if they underwent operation^3 We present a patient who had blunt trauma on his left chest, which caused right haemothorax due to ruptured azygos vein.
