Premium
Pseudotumoral azygos and paraesophageal varices of posterior mediastinum in a 15‐month‐old infant: A case report
Author(s) -
Yang Fuchun,
Takada Yasutsugu,
Sakamoto Seisuke,
Okamoto Shinya,
Uemoto Shinji
Publication year - 2007
Publication title -
pediatric transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 69
eISSN - 1399-3046
pISSN - 1397-3142
DOI - 10.1111/j.1399-3046.2007.00775.x
Subject(s) - medicine , mediastinum , varices , liver transplantation , radiology , azygos vein , biliary atresia , magnetic resonance imaging , transplantation , surgery , cirrhosis
A case of azygos and paraesophageal varices presenting as a posterior mediastinal mass in a 15‐month‐old infant with biliary atresia is described. The patient was evaluated for living donor liver transplantation because of repeated cholangitis after Kasai operation, and plain CT scan demonstrated a mass in posterior mediastinum. The operation of mediastinal tumor resection was planned before liver transplantation in order to exclude malignant disease, however, possibility of paraesophageal varices remained. Contrast‐enhanced magnetic resonance imaging clearly demonstrated azygos and paraesophageal varices in posterior mediastinum. Living donor liver transplantation was performed successfully without ligation of paraesophagogastric varices. Contrast‐enhanced CT demonstrated distinctly decreased mediastinal mass one month after transplantation.