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9101112?yesnonono400yearNoNameRefe-renceLi2022118　????????1Li22DeMaio33Laohathai4Papadomanolakis45Papadomanolakis46Papadomanolakis47Papadomanolakis489Papadomanolakis410Papadomanolakis411Papadomanolakis412Yang 5613Mohajeri14Haq7202220212019201620162016201620162016201620142014201415Cao2012Juraszyński 1617Endara18Drac19Kamiyoshihara201020102007200720Nguyen13200621BowlesSharma2223Sugimoto24Cagini25No author14151617182000199919981998199626Butler191995Jain27Inoue2829Walsh30Thurman31Shkrum20212223241994199319921992199132Shkrum2419913334ShkrumShkrum24241991199135Baldwin 25198436Sherani 26198637Coates 27198738Snyder28198939Present case2021　Wall292006CT: computed tomography, Th: thracic spine, L: lumbar spine, SVC: superior vena cavaagesexmechanism81femaletraffic accident38283328502835412065524552malefemalefemalefemalemalemalemalemalemalefemalefemalemalemaletraffic accidenttraffic accidenttraffic accidenttraffic accidenttraffic accidenttraffic accidenttraffic accidentfalltraffic accidenttraffic accidentchest compressionsporttraffic accident60malefalling object70212271femalebluntmalemalefemaletraffic accidenttraffic accidenttraffic accident21maletraffic accident2175441851traffic accidenttraffic accidenttraffic accidenttraffic accidentmalefemalemalefemalefemaleblunt23maletraffic accident5141411923femalefemalemalemalemaleassaulttraffic accidentfalltraffic accidentfall39femaletraffic accident4824femalefemaletraffic accidenttraffic accident28femaletraffic accident25maletraffic accident63femaletraffic accident52femaletraffic accident63malefallgun shot 19, stab 3Table 1　Summary of case of blunt azygos injuryright hemo-thoraxshockrib fractureyesyesyesyesyesyesyesyesyesyesyesyesyesyesno?yesnonoyesyesyesyesyesyesyesyesno?yesyesnonoyesyesyesyesyesyesyesno?yesyesyesnoyesyesyesnoyesyes?no?yesyesyesyesyesyesnoyesyesyesyesyesyesnoyesyesyesyesyesyesyesnoyesyesyesyesyesnonono?nonoyesnoyesnoyesyesyesnoyesyesyesyesnoyesyesyesyesyesyesyesyesyesyessiteCTassociated injurydiaphragma, liver, omentum, pelvisyesTh3, L4, pelvisyesTh4,5, sternumyesradiusyesliver, femuryesTh, liver, pelvisyesfemuryesliverliver, spleenyesliver, kidney, femuryesyespelvisnoneyesnonone??lumbar, lower extremitynonespleenhead, spleenkidney, legfemur, descending aortanoneliver, head, pelvisabdomenomentumnonehead, Th3,4, spleen, tibianonenonenonehead, ankleTh, headTh, head, liver, spinal cordTh, liver, spleenpelvisabdomen, lower extremitieshead, abdomen, lower extremitieshead, abdomen, lower extremitiesarchnoarcharcharch????????archarchnoyesnonononononononoyesyesyesarchyesSVC junctionSVC junction?archyesnoyesyesTh4noarcharcharcharchhemidiaphragmyesnononoyesarchnoAbove diaphragmnoSVC junctionnonoSVC junctionnoarchTh5 yesTh4 noTh4 Th4-5 nonoSVC junctionnonoTh4-5 noSVC junctionInferior SVC junctionarch, Th12nospineyesheadMultipleOpe-rationSur-vivalyesyesyesyesyesnonononononononoyes?yesyesyesyesyesyesyesnonoyesyesyesyesyesyesyes?yesyesnoyes?yesyesyesyesyesyesyesnoyesnoyesnoyesnoyesyesnonoyesyesyesyesyesyesyesyesyesnomortality 36%yes