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[Palmar Hyperhidrosis Associated with the Azygos Lobe].
Osamu Kakazu1, Morio Ohta, Tomonari Shiohira
1Department of Thoracic Surgery, Nakagami Hospital, Okinawa, Japan.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|December 8, 2021
Summary
A 66-year-old man underwent endoscopic thoracic sympathectomy for palmar hyperhidrosis. The procedure successfully addressed the condition, with the azygos lobe being safely managed during the surgery.
Area of Science:
- Thoracic surgery
- Anatomy
- Hyperhidrosis management
Background:
- Palmar hyperhidrosis is excessive sweating of the palms.
- An azygos lobe is a rare anatomical variant of the lung.
- Endoscopic thoracic sympathectomy is a surgical treatment for hyperhidrosis.
Observation:
- A 66-year-old man presented with palmar hyperhidrosis.
- Computed tomography revealed an azygos lobe and azygos vein.
- The azygos lobe was noted to have adhesions to the parietal pleura.
Findings:
- Endoscopic thoracic sympathectomy (ETS) was performed for palmar hyperhidrosis.
- The T3 ganglion was resected.
- The azygos lobe was dissected and managed during the ETS procedure.
- The sympathectomy was safely completed.
Implications:
- This case demonstrates the successful management of palmar hyperhidrosis in a patient with an azygos lobe.
- It highlights the importance of pre-operative imaging to identify anatomical variations.
- The study underscores the feasibility and safety of performing ETS in the presence of an azygos lobe.
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