Tuberc Respir Dis.  2001 Nov;51(5):482-487. 10.4046/trd.2001.51.5.482.

A Case of Mediastinal Pancreatic Pseudocyst

• Kwon NY
• Kim DH
• Hong SK
• Choi EK
• Park JS
• Jee YK
• Kim KY
• Jee KN
• Choi YH
• Lee KY

• KMID: 2160038
• DOI: http://doi.org/10.4046/trd.2001.51.5.482

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.

Keyword

Pancreatic pseudocyst; Mediastinum

MeSH Terms

Abdomen
Cytochrome P-450 CYP1A1
Deglutition Disorders
Diagnosis
Diaphragm
Drainage
Dyspnea
Mediastinum
Pancreatic Pseudocyst*
Pleural Effusion
Thorax
Cytochrome P-450 CYP1A1