Korean J Pancreas Biliary Tract.
2014 Jul;19(3):137-141.
Endoscopic Ultrasound-Guided Transesophageal Drainage of a Mediastinal Pancreatic Pseudocyst
- Affiliations
-
- 1Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
- 2Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. mhkim@amc.seoul.kr
Abstract
- Pancreatic pseudocyst is a common complication of acute/chronic pancreatitis, but extension of a pancreatic pseudocyst into the mediastinum is a rare occurrence. In this report, we described a case of a 62-year-old male with necrotizing pancreatitis presenting with chest pain and dysphagia caused by a mediastinal pseudocyst. Endoscopic retrograde pancreatography revealed pancreatic duct disruption and leaks. A mediastinal pseudocyst was successfully drained by endoscopic ultrasound (EUS)-guided transesophageal approach. Chest pain and dysphagia disappeared swiftly with drainage. Associated pancreatic pseudocyst at tail was managed by EUS-guided cystogastrostomy and pleural effusion was controlled by percutaneous drainage, respectively. In a follow-up period of 3 months, there has been no recurrence of symptoms and signs. Although currently EUS-guided transesophageal approach was done in the selected cases, this procedure is technically feasible, less invasive and more effective than surgical approach.
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Successful Endoscopic Ultrasound-Guided Treatment of a Spontaneous Rupture of a Hemorrhagic Pancreatic Pseudocyst
- Linear Array Endoscopic Ultrasound-Guided Drainage of a Pancreatic Pseudocyst without Using Fluoroscopy
- Endoscopic Ultrasound-Guided Drainage of Pancreatic Fluid Collections (with Video)
- Successful Management of Mediastinal Pancreatic Pseudocyst with Endoscopic Transmural Nasopancreatic Drainage
- Metal versus Plastic Stent for Transmural Drainage of Pancreatic Fluid Collections
