An Unusual Benign Cause of an Alarming Finding on Chest-X ray: A Case Report of Widened Mediastinum due to Rare Congenital Abnormality (Azygos Vein Continuation of Inferior Vena Cava)
Acute widened mediastinum is an alarming finding. It has many possible differential diagnoses; aortic dissection (AD) is considered one that carries catastrophic outcomes. AD is relatively uncommon; it requires early and accurate diagnosis and treatment for better patient survival. However, acute me...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Critical Care |
| Online Access: | http://dx.doi.org/10.1155/2019/3457495 |
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| author | Michael Hanna Ghada Elshimy Medhat Ismail Mourad Ismail |
| author_facet | Michael Hanna Ghada Elshimy Medhat Ismail Mourad Ismail |
| author_sort | Michael Hanna |
| collection | DOAJ |
| description | Acute widened mediastinum is an alarming finding. It has many possible differential diagnoses; aortic dissection (AD) is considered one that carries catastrophic outcomes. AD is relatively uncommon; it requires early and accurate diagnosis and treatment for better patient survival. However, acute mediastinal widening also can be present in more benign conditions. We report a case of a 50-year-old African American female with postoperative shortness of breath; initial imaging studies revealed an acute widened mediastinum, but on further management with diuresis and follow-up imaging, she was diagnosed with azygous vein continuation of the Inferior vena cava (IVC). This is considered as a rare benign cause of wide mediastinum. Clinicians must be aware of the presence of such a benign cause when dealing with acute wide mediastinum. |
| format | Article |
| id | doaj-art-46c3c994cf7c49ca9b8757d952342079 |
| institution | Kabale University |
| issn | 2090-6420 2090-6439 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Critical Care |
| spelling | doaj-art-46c3c994cf7c49ca9b8757d9523420792025-02-03T01:11:39ZengWileyCase Reports in Critical Care2090-64202090-64392019-01-01201910.1155/2019/34574953457495An Unusual Benign Cause of an Alarming Finding on Chest-X ray: A Case Report of Widened Mediastinum due to Rare Congenital Abnormality (Azygos Vein Continuation of Inferior Vena Cava)Michael Hanna0Ghada Elshimy1Medhat Ismail2Mourad Ismail3Department of Medicine and Pulmonary Critical Care, New York Medical College at Saint Joseph’s University Medical Center, 703 Main St., Paterson, NJ, USADepartment of Medicine and Pulmonary Critical Care, New York Medical College at Saint Joseph’s University Medical Center, 703 Main St., Paterson, NJ, USADepartment of Medicine and Pulmonary Critical Care, New York Medical College at Saint Joseph’s University Medical Center, 703 Main St., Paterson, NJ, USADepartment of Medicine and Pulmonary Critical Care, New York Medical College at Saint Joseph’s University Medical Center, 703 Main St., Paterson, NJ, USAAcute widened mediastinum is an alarming finding. It has many possible differential diagnoses; aortic dissection (AD) is considered one that carries catastrophic outcomes. AD is relatively uncommon; it requires early and accurate diagnosis and treatment for better patient survival. However, acute mediastinal widening also can be present in more benign conditions. We report a case of a 50-year-old African American female with postoperative shortness of breath; initial imaging studies revealed an acute widened mediastinum, but on further management with diuresis and follow-up imaging, she was diagnosed with azygous vein continuation of the Inferior vena cava (IVC). This is considered as a rare benign cause of wide mediastinum. Clinicians must be aware of the presence of such a benign cause when dealing with acute wide mediastinum.http://dx.doi.org/10.1155/2019/3457495 |
| spellingShingle | Michael Hanna Ghada Elshimy Medhat Ismail Mourad Ismail An Unusual Benign Cause of an Alarming Finding on Chest-X ray: A Case Report of Widened Mediastinum due to Rare Congenital Abnormality (Azygos Vein Continuation of Inferior Vena Cava) Case Reports in Critical Care |
| title | An Unusual Benign Cause of an Alarming Finding on Chest-X ray: A Case Report of Widened Mediastinum due to Rare Congenital Abnormality (Azygos Vein Continuation of Inferior Vena Cava) |
| title_full | An Unusual Benign Cause of an Alarming Finding on Chest-X ray: A Case Report of Widened Mediastinum due to Rare Congenital Abnormality (Azygos Vein Continuation of Inferior Vena Cava) |
| title_fullStr | An Unusual Benign Cause of an Alarming Finding on Chest-X ray: A Case Report of Widened Mediastinum due to Rare Congenital Abnormality (Azygos Vein Continuation of Inferior Vena Cava) |
| title_full_unstemmed | An Unusual Benign Cause of an Alarming Finding on Chest-X ray: A Case Report of Widened Mediastinum due to Rare Congenital Abnormality (Azygos Vein Continuation of Inferior Vena Cava) |
| title_short | An Unusual Benign Cause of an Alarming Finding on Chest-X ray: A Case Report of Widened Mediastinum due to Rare Congenital Abnormality (Azygos Vein Continuation of Inferior Vena Cava) |
| title_sort | unusual benign cause of an alarming finding on chest x ray a case report of widened mediastinum due to rare congenital abnormality azygos vein continuation of inferior vena cava |
| url | http://dx.doi.org/10.1155/2019/3457495 |
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