Bergès O, Benacerraf R, Nahum H
J Radiol Electrol Med Nucl. 1979 Mar;60(3):211-4.
A man of 37 years of age developed portal hypertension which was observed on radiological examination as a mediastinal opacity having the appearance of a tumor. No oesophageal varices were seen on barium meal examination or by endoscopy. A smooth liver was seen during laparoscopy. Pre-operative hemodynamic studies showed that there was no sinus block. Thoracotomy revealed an aneurysm of the azygos veins. Exploratory laparotomy after coelio-mesenteric arteriography confirmed the diagnosis of diffuse nodular hyperplasia of the liver, cirrhosis, and portal hypertension. The findings in 16 cases of mediastinal opacity from portal hypertension reported in the published literature are discussed.
一名37岁男性出现门静脉高压，放射学检查发现纵隔有一类似肿瘤的不透明影。钡餐检查及内镜检查均未发现食管静脉曲张。腹腔镜检查时肝脏表面光滑。术前血流动力学研究显示无窦性阻滞。开胸手术发现奇静脉动脉瘤。腹腔 - 肠系膜动脉造影后行剖腹探查术，证实为肝脏弥漫性结节性增生、肝硬化及门静脉高压。本文讨论了已发表文献中报道的16例因门静脉高压导致纵隔不透明影的病例。
