Khatri Shivam, Chamay Salomon, Chacko Steven, Sharma Shorabh
CUNY School of Medicine, 160 Convent Ave, New York, NY 10031, USA.
Division of Internal Medicine, Department of Medicine, St. Barnabas Hospital, Bronx, NY 10457, USA.
Radiol Case Rep. 2023 May 23;18(8):2581-2585. doi: 10.1016/j.radcr.2023.04.040. eCollection 2023 Aug.
Dysphagia is a common issue observed among the elderly, which can arise from various etiologies such as motility disorders and chronic neurologic conditions. Radiologists play a crucial role in diagnosing the cause of dysphagia, as they can identify anatomical abnormalities that may lead to the condition. One such anomaly is the hemiazygos vein, which is the left side equivalent of the azygos vein and can cause dysphagia if it crosses over the esophagus. To our knowledge, there are only 2 other recorded cases of azygos aneurysm/dilation causing esophageal dysphagia. In this context, we present a case report of a 73-year-old female with a 1-month history of weight loss and dysphagia due to a prominent hemiazygos vein. The case highlights the importance of thorough radiological evaluation in identifying the underlying cause of dysphagia and ensuring timely and appropriate treatment.
吞咽困难是老年人中常见的问题，它可能由多种病因引起，如动力障碍和慢性神经疾病。放射科医生在诊断吞咽困难的病因方面起着至关重要的作用，因为他们能够识别可能导致该病症的解剖学异常。其中一种异常是半奇静脉，它相当于奇静脉的左侧部分，如果它跨过食管，可能会导致吞咽困难。据我们所知，仅有另外2例奇静脉动脉瘤/扩张导致食管吞咽困难的病例记录。在此背景下，我们报告一例73岁女性病例，该患者因突出的半奇静脉导致体重减轻和吞咽困难1个月。该病例凸显了全面的放射学评估在识别吞咽困难的潜在病因及确保及时、恰当治疗方面的重要性。
