Saccular aneurysm of the azygos vein in a patient with azygos accessory fissure

Saccular aneurysm of the azygos vein in a patient with azygos accessory fissure

The saccular aneurysm of the azygos vein is an extremely rare condition, which when located in the path of an accesory pulmonary fissure, becomes a diagnostic challenge because it can be mistaken for tumors arising from the accesory pleura, like solitary fibrous tumor of the pleura or mesothelioma....

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Bibliographic Details
Published in:Radiologia Vol. 57; no. 2; p. 167
Main Authors: Córdoba Rovira, S M, Guedea Martin, A, Salvador Adell, I, Elias Artiga, J
Format: Journal Article
Language:Spanish
Published: Spain 01-03-2015
Subjects:
Aged
Aneurysm - complications
Aneurysm - diagnostic imaging
Azygos Vein - abnormalities
Azygos Vein - diagnostic imaging
Humans
Male
Azygos vein
Aneurisma
Aneurysm
Pulmonary accessory lobe
Vena ácigos
Venous anomaly
Anomalía venosa
Lóbulo accesorio pulmonar
Azygos fissure
Lóbulo de la ácigos
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Summary:The saccular aneurysm of the azygos vein is an extremely rare condition, which when located in the path of an accesory pulmonary fissure, becomes a diagnostic challenge because it can be mistaken for tumors arising from the accesory pleura, like solitary fibrous tumor of the pleura or mesothelioma. The diagnosis should ideally be done by non-invasive methods such as CT or MR angiographic technique in multiple phases, thus avoiding unnecessary surgical intervention. This case is exceptional because, to our knowledge, it is the first to report both concomitant clinical situations, an aneurysm of the azygos vein in the pathway of its accessory fissure.
ISSN:1578-178X
DOI:10.1016/j.rx.2014.11.005