A Case of Mediastinal Pancreatic Pseudocyst.

Kwon, Na Young; Kim, Do Hyung; Hong, Seok Kyun; Choi, Eun Kyung; Park, Jae Seok; Jee, Young Koo; Kim, Keun Youl; Jee, Keum Nahn; Choi, Young Hee; Lee, Kye Young

doi:2001.51.5.482

Tuberc Respir Dis > Volume 51(5); 2001 > Article

Case Report

Tuberculosis and Respiratory Diseases 2001;51(5):482-487.
DOI: https://doi.org/10.4046/trd.2001.51.5.482 Published online November 1, 2001.

A Case of Mediastinal Pancreatic Pseudocyst.

Na Young Kwon, Do Hyung Kim, Seok Kyun Hong, Eun Kyung Choi, Jae Seok Park, Young Koo Jee, Keun Youl Kim, Keum Nahn Jee, Young Hee Choi, Kye Young Lee

Abstract

A pancreatic pseudocyst with a mediastinal extension is a rare clinical entity. Intrathoracic symptoms such as dysphagia or dyspnea due to compression or associated pleural effusions are quite common. The pseudocysts transverse the diaphragm via the esophageal hiatus or aortic hiatus or by eroding directly through the diaphragm. Here, we report a case of a pancreatic pseudocyst with a mediastinal extension presenting as dysphagia and dyspnea. The diagnosis was confirmed by computerized axial tomography of the chest and abdomen. Usually, the proper management of a larger pseducocyst includes percutaneous or surgical internal drainage, but in this case the mediastinal components disappeared with conservative medical treatment.

Key Words: Pancreatic pseudocyst, Mediastinum