{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T02:35:33Z","timestamp":1747190133341,"version":"3.40.5"},"reference-count":11,"publisher":"Wiley","license":[{"start":{"date-parts":[[2019,12,9]],"date-time":"2019-12-09T00:00:00Z","timestamp":1575849600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Critical Care"],"published-print":{"date-parts":[[2019,12,9]]},"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.1155\/2019\/3457495","type":"journal-article","created":{"date-parts":[[2019,12,9]],"date-time":"2019-12-09T18:31:19Z","timestamp":1575916279000},"page":"1-4","source":"Crossref","is-referenced-by-count":0,"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)"],"prefix":"10.1155","volume":"2019","author":[{"given":"Michael","family":"Hanna","sequence":"first","affiliation":[{"name":"Department of Medicine and Pulmonary Critical Care, New York Medical College at Saint Joseph\u2019s University Medical Center, 703 Main St., Paterson, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6372-9099","authenticated-orcid":true,"given":"Ghada","family":"Elshimy","sequence":"additional","affiliation":[{"name":"Department of Medicine and Pulmonary Critical Care, New York Medical College at Saint Joseph\u2019s University Medical Center, 703 Main St., Paterson, NJ, USA"},{"name":"Department of Endocrinology, Diabetes and Metabolism, University of Arizona College of Medicine, 1111 E McDowell Road, Phoenix, AZ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Medhat","family":"Ismail","sequence":"additional","affiliation":[{"name":"Department of Medicine and Pulmonary Critical Care, New York Medical College at Saint Joseph\u2019s University Medical Center, 703 Main St., Paterson, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3481-2061","authenticated-orcid":true,"given":"Mourad","family":"Ismail","sequence":"additional","affiliation":[{"name":"Department of Medicine and Pulmonary Critical Care, New York Medical College at Saint Joseph\u2019s University Medical Center, 703 Main St., Paterson, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)64323-8"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1097\/00063110-200508000-00006"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1148\/radiographics.20.3.g00ma09639"},{"issue":"5","key":"4","first-page":"141","volume":"2012","year":"2012","journal-title":"International Journal of Anatomical Variations"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.2535\/ofaj.88.147"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.4103\/2211-4122.183761"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.45.6.1323"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1007\/s13244-014-0351-3"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/3071873"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000010546"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1046\/j.1469-0705.1999.14030215.x"}],"container-title":["Case Reports in Critical Care"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/cricc\/2019\/3457495.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cricc\/2019\/3457495.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cricc\/2019\/3457495.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,12,9]],"date-time":"2019-12-09T18:31:21Z","timestamp":1575916281000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/cricc\/2019\/3457495\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,12,9]]},"references-count":11,"alternative-id":["3457495","3457495"],"URL":"https:\/\/doi.org\/10.1155\/2019\/3457495","relation":{},"ISSN":["2090-6420","2090-6439"],"issn-type":[{"type":"print","value":"2090-6420"},{"type":"electronic","value":"2090-6439"}],"subject":[],"published":{"date-parts":[[2019,12,9]]}}}