Mediastinal pancreatic pseudocyst with isolated thoracic symptoms: a case report
Mediastinal pancreatic pseudocyst with isolated thoracic symptoms: a case report
Journal of Medical Case Reports 2008, 2:180
Published: December 2009
Published: December 2009
Abstract
Introduction: Mediastinal pancreatic pseudocysts represent a rare complication of acute or chronic pancreatitis.
Case presentation:
A 55-year-old man with a history of chronic pancreatitis was admitted with intermittent dyspnea, dysphagia and weight loss. Chest X-ray, computed tomography and magnetic resonance imaging revealed a large paracardial pancreatic pseudocyst causing cardiac and esophageal compression.
Conclusion:
Mediastinal pancreatic pseudocysts are a rare complication of chronic pancreatitis. These pseudocysts may lead to isolated thoracic symptoms. For accurate diagnostic and therapy planning, a multimodal imaging approach is necessary.
Introduction
Pseudocyst formation is a common complication of chronic pancreatitis. Usually, these cysts are located inside and around the pancreas, and most often arise due to leakage of pancreatic secretions into surrounding tissues. In some cases the connection between the cyst and the pancreas is not evident on computed tomography (CT) or magnetic resonance imaging (MRI). Rarely, pancreatic pseudocysts can extend to the mediastinum [1,2]. They may lead to pleural or pericardial effusion, cardiac compression due to mass effect and dysphagia [3,4].
We report the case a patient with a history of ethanolinduced chronic pancreatitis suffering from intermittent dyspnea and difficulties in swallowing solid foods. Imaging revealed large cystic lesions in the posterior mediastinum and upper abdomen. No symptoms of active pancreatitis were evident at initial admission.
Keywords:
Mediastinal pancreatic pseudocyst, isolated thoracic, chronic pancreastitis, ann thorac surg, pancratic pseudocyst drainage, pancreatic pseudocyst complications, pleural effusion,
Mediastinal pancreatic pseudocyst, isolated thoracic, chronic pancreastitis, ann thorac surg, pancratic pseudocyst drainage, pancreatic pseudocyst complications, pleural effusion,
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