Author of

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  P3.06 - Poster Session/ Screening and Early Detection (ID 220)

  • Event: WCLC 2015
  • Type: Poster
  • Track: Screening and Early Detection
  • Presentations: 1
  • Moderators:
  • Coordinates: 9/09/2015, 09:30 - 17:00, Exhibit Hall (Hall B+C)

  • 15552

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    P3.06-022 - Huge Dilatation of the Azygos Vein (Aneurysms of the Azygos Vein). University Hospital 'Shefqet Ndroqi' Thorax Surgery Service (ID 2438)

    09:30 - 09:30  |  Author(s): A. Leka
    • Abstract
    • Slides

    Background:
    Huge dilatacion of the azygos vein (Aneurysms of the azygos vein) are rare and can sometimes mimic a paratracheal or posterior mediastinal mass. It is important to confirm the diagnosis with radiologic tools before performing invasive procedures, which carry the risk of hemorrhage. The usual diagnosis of a mediastinal mass by mediastinoscopy or percutaneous fine-needle aspiration or biopsy is very hazardous if there is a venous varix. Noninvasive thoracic CT scanning is a safe and better choice for diagnosis
    
    Methods:
    Here, we present a case in a 46-year-old symptomatic patient of an increasing azygos vein aneurysm that mimicked a growing paratracheal mass and posterior mediastinal mass. Review of images obtained using various modalities, including contrast CT scanner with out dynamic magnetic resonance image (MRI), revealed that the image findings were suggestive of azygos vein huge dilatation of the azigos vein ( aneurysm).
    
    Results:
    Using this method, an exact diagnosis can be reached without resorting to invasive procedures or with mini-invassiv thorax surgery.The main causes of a dilated azygos vein include portal vein hypertension, obstruction of the superior vena cava, hypertension in the right-heart chamber, Budd-Chiari syndrome, hypervascular tumor draining into the azygos system, posttraumatic pseudoaneurysm, kinking of the aorta, and pregnancy. In some cases, no definitive cause is found.
    
    Conclusion:
    We report a case of azygos vein varix mimicking a mediastinal mass in a patient with flebotrombosis of right femoral vena..
    
    

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