Mediastinal Pancreatic Pseudocysts

  title={Mediastinal Pancreatic Pseudocysts},
  author={Krzysztof Dąbkowski and Andrzej Białek and Maciej Kukla and Janusz W{\'o}jcik and Andrzej Smereczyński and Katarzyna Kołaczyk and Tomasz Grodzki and Teresa Starzynska},
  journal={Clinical Endoscopy},
  pages={76 - 80}
Mediastinal pseudocysts are a rare complication of acute pancreatitis. Lack of uniform treatment standards makes the management of this condition a clinical challenge. We report the case of a 43-year-old patient who presented with a left pleural effusion. Pleural fluid revealed a high amylase concentration consistent with a pancreaticopleural fistula. Endoscopic retrograde cholangiopancreatography (ERCP) revealed a disruption of the pancreatic duct with free outflow of contrast medium into the… Expand
Isolated Mediastinal Pseudocyst of the Pancreas
The patient gradually recovered after Roux-en-Y cystojejunostomy, and a viable treatment option for mediastinal pancreatic pseudocyst, especially with failure of medical therapy. Expand
A spontaneous resolution of mediastinal pancreatic pseudocyst compressing oesophagus and heart’s posterior wall after total parenteral nutrition – a case report and literature review
This case emphasize that disappearance of mediastinal pseudocyst without invasive procedure is achievable and may be considered even in symptomatic patients, and in a 3-month follow-up period with strict alcohol abstinence, spontaneous resolution of the pseudocySt was obtained. Expand
[Mediastinal pancreatic cysts: review and own clinical observations].
MPC is a rare complication of pancreatitis and often associated with pleural effusion, and CT and fluid amylase analysis are the main diagnostic measures. Expand
Pancreatic Pseudocyst with Mediastinal Extension Presenting as Pseudo-Kirklin Sign—Multimodality Imaging
“Pseudo-Kirklin sign” observed on the frontal radiograph of a 46-year-old male patient due to a soft tissue shadow/contour deformity of the fundal gas shadow caused by pseudocyst of the pancreas is presented. Expand


Pancreaticopleural Fistula: Revisited
  • N. Machado
  • Medicine
  • Diagnostic and therapeutic endoscopy
  • 2012
There is a lack of clarity regarding the management of pancreaticopleural fistula, and the literature is reviewed here to assess the present view on its pathogenesis, investigations, and management. Expand
Mediastinal pancreatic pseudocyst--a case report and review of the literature.
This is only the second time that successful drainage of a mediastinal pseudocyst using a transesophageal approach under endoscopic ultrasound guidance has been reported, and the literature was reviewed for clinical presentation, complications, and available treatment options. Expand
Mediastinal Extension of Pancreatic Pseudocyst–A Case With Review of Topic and Management Guidelines
A 43-year-old male with a history of pancreatitis, who presented with dysphagia and was found to have a pancreatic pseudocyst was extending to the mediastinum and compressing the esophagus, and was successfully drained externally by computed tomography–guided catheter intervention. Expand
A case of mediastinal pancreatic pseudocyst successfully treated with somatostatin analogue.
A 57-year-old man with a 3-year history of chronic pancreatitis was admitted to the authors' hospital with upper abdominal pain, and the pseudocysts in the pancreatic body and the mediastinum and the pancreas disappeared on the 28th day of the treatment. Expand
Successful treatment of mediastinal pancreatic pseudocyst by pancreatic head resection.
A 41-year-old male patient with a documented history of chronic pancreatitis who developed a pancreaticomediastinal fistula with mediastinal pseudocyst was successfully treated by pancreatic head resection (Frey). Expand
Diagnosis and management of pancreaticopleural fistula.
This work describes a case of pancreaticopleural fistula in a patient who was treated using a modified Puestow procedure after failed endoscopic treatment and suggests that management strategies be planned based on pancreatic ductal imaging. Expand
Pancreaticopleural fistula and mediastinal pseudocyst: An unusual presentation of acute pancreatitis
We report a case of an adult male who presented with recurrent massive hemorrhagic pleural effusion with a mediastinal cyst due to an unusual complication of pancreatic pseudocyst-likeExpand
Pancreatic pseudocyst of the mediastinum.
A patient with pancreatic pseudocyst of the mediastinum is presented. Weight loss, chest or abdominal pain, and dyspnea are the most frequent symptoms of mediastinal pseudocyst. Chest roentgenogramExpand
Nonsurgical management of pancreaticopleural fistula.
Endoscopic management is preferable alternative to surgery for pancreaticopleural fistula, with no recurrence after follow up ranging 4-30 months and no deaths in these 16 cases. Expand
Pancreatic-pleural fistula: the role of ERCP in diagnosis and treatment.
A case of pancreaticpleural fistula is presented where the diagnosis was confirmed by ERCP and treatment accomplished by transpapillary pancreatic duct stent placement. Expand