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酷似肿大淋巴结的半奇静脉瘤

Hemiazygos vein aneurysm mimicking an enlarged lymph node.

作者信息

Kim Yeon Soo

机构信息

Department of Thoracic and Cardiovascular Surgery, Inje University Ilsan Paik Hospital, 170 Juwha-ro, Ilsansu-gu, Goyang-si, Gyeonsgi-Do, South Korea.

出版信息

Radiol Case Rep. 2024 Sep 7;19(12):5658-5661. doi: 10.1016/j.radcr.2024.08.068. eCollection 2024 Dec.

DOI:10.1016/j.radcr.2024.08.068
PMID:39296743
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11406794/
Abstract

Idiopathic hemiazygos vein aneurysm is a rare lesion that can be difficult to diagnose. Here we report a case of asymptomatic idiopathic hemiazygos vein aneurysm (HAVA) that was incidentally discovered on chest computed tomography (CT) and mistaken for enlarged lymph nodes. The patient underwent thoracoscopic surgery for a biopsy, which confirmed that he had an idiopathic hemiazygos aneurysm. Delayed contrast-enhanced CT was performed after surgery, and it was confirmed that the hemiazygos vein aneurysm was connected to the adjacent vessel.

摘要

特发性半奇静脉动脉瘤是一种罕见的病变，诊断可能存在困难。在此，我们报告一例无症状性特发性半奇静脉动脉瘤（HAVA），该病例在胸部计算机断层扫描（CT）检查时偶然发现，最初被误诊为肿大的淋巴结。患者接受了胸腔镜手术活检，结果证实为特发性半奇静脉动脉瘤。术后进行了延迟增强CT检查，证实半奇静脉动脉瘤与相邻血管相连。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abca/11406794/6c1550aad264/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abca/11406794/7cdd5d59fd2d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abca/11406794/ded2962df783/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abca/11406794/6c1550aad264/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abca/11406794/7cdd5d59fd2d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abca/11406794/ded2962df783/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abca/11406794/6c1550aad264/gr3.jpg

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本文引用的文献

1
Giant Ruptured Azygos Vein Aneurysm in a 33-Year-Old Woman.一名33岁女性的巨大破裂奇静脉动脉瘤
Thorac Cardiovasc Surg Rep. 2023 Jun 5;12(1):e36-e40. doi: 10.1055/a-2072-0285. eCollection 2023 Jan.
2
Thoracoscopic removal of an azygos vein aneurysm with thrombus formation.胸腔镜下切除伴有血栓形成的奇静脉动脉瘤。
Gen Thorac Cardiovasc Surg. 2021 Sep;69(9):1335-1337. doi: 10.1007/s11748-021-01652-y. Epub 2021 May 26.
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Surgical therapy for hemangioma of the azygos vein arch under thoracoscopy: A case report.胸腔镜下奇静脉弓血管瘤的手术治疗：一例报告
World J Clin Cases. 2021 Apr 16;9(11):2655-2661. doi: 10.12998/wjcc.v9.i11.2655.
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Rare cause of a posterior mediastinal mass diagnosed at endobronchial ultrasound.经支气管内超声诊断的后纵隔肿块的罕见病因。
BMJ Case Rep. 2019 Jan 10;12(1):bcr-2018-228437. doi: 10.1136/bcr-2018-228437.
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Azygos vein varix mimicking bronchial cysts.酷似支气管囊肿的奇静脉静脉曲张
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Imaging features and outcomes in 10 cases of idiopathic azygos vein aneurysm.特发性奇静脉瘤 10 例的影像学特征及转归。
Ann Thorac Surg. 2014 Mar;97(3):873-8. doi: 10.1016/j.athoracsur.2013.10.029. Epub 2013 Dec 21.
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Idiopathic accessory hemiazygos vein aneurysm with an incidental mediastinal mass.特发性副半奇静脉瘤伴纵隔肿物
Intern Med. 2012;51(17):2347-9. doi: 10.2169/internalmedicine.51.8011. Epub 2012 Sep 1.