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題名 | Idiopathic Thrombosed Saccular Aneurysm of the Azygos Vein--A Case Report=自發性栓塞性奇靜脈囊狀瘤--病例報告 |
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作者姓名(中文) | 秦建弘; 賴永發; 王瑞隆; 高常發; 謝敏暲; | 書刊名 | 胸腔醫學 |
卷期 | 17:2 2002.06[民91.06] |
頁次 | 頁154-158 |
分類號 | 415.385 |
關鍵詞 | 奇靜脈囊狀瘤; 縱膈腔腫塊; Azygos vein aneurysm; Mediastinal mass; |
語文 | 英文(English) |
中文摘要 | 自然性奇靜脈囊狀瘤是一種非常罕見的血管變異,且它常常看起來極似縱膈腔腫瘤。它真正的病因並不清楚,但一般較傾向先天性來源。電腦斷層被認為是診斷此種血管變異的一項重要檢查。至於此病適當的治療對策則至今仍不清楚。 我們在此報告一個完全栓塞的奇靜脈囊狀瘤的病例。它發生在一位33歲男性有咳嗽胸痛的主訴。胸部X光顯現出右側氣管旁有一個大的腫塊狀的病灶;胸部電腦斷層顯示出這個病灶僅有周邊對顯影劑顯影而磁振攝影檢查也顯示不出此病灶有明顯血流信號。手術後來証實這是一個栓塞的奇靜脈囊狀瘤。 |
英文摘要 | The idiopathic azygos vein aneurysm is a very rare abnormality, and frequently mimics a mediastinal tumor. The etiology of this rare entity is unknown, though most generally consider it to be of congenital origin. Computerized tomography is thought to be very important for diagnosing this abnormality, though to date it is not clear what an appropriate therapeutic strategy would entail. Herein, we present a case of a large, saccular, totally thrombosed azygos vein aneurysm found in a 33-year-old man complaining of cough and chest pain. The chest radiograph revealed a large mass in the right paratracheal region. Enhanced computerized tomography showed some rim enhancement of the mass, only and magnetic resonance imaging did not demonstrate a flow void. Surgery then confirmed a thrombosed azygos vein aneurysm. |
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