Title: Mediastinal Pancreatic Pseudocyst: A Dilemma in Diagnosis

Authors: Shirish R Bhagwat, Jalbaji P More, Prachiti S Gokhe, Abhijeet Jain, Atish Parikh

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i9.74

Abstract

Introduction: Pseudocyst is a common complication after attack of acute and chronic pancreatitis. Cysts which are >6 cm in size and are persistent after period of 6 weeks don’t resolve usually and may require surgical management whereas smaller cysts may be managed with conservative management. However a mediastinal pseudocyst is known but rare complication after pancreatitis[1][10]

Case Description: We describe case report of a 38 years old male presenting with abdominal pain and weakness and intermittent breathlessness. Patient had history of multiple hospital admissions for pancreatitis when he was managed conservatively. Detailed clinical evaluation and after CXR, HRCT Thorax patient was diagnosed to have mediastinal pseudocyst.

Conclusion: Mediastinal pseudocyst is a rare complication of acute/chronic pancreatitis. A differential diagnosis of mediastinal pseudocyst should be kept in mind in patient with mediastinal mass with history of pancreatitis.

Keywords: Mediastinal pseudocyst, pancreatitis, mediastinal mass.

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Corresponding Author

Prachiti S Gokhe

Department of General Surgery, Grant Government Medical College and Sir J. J. Group of Hospitals, Mumbai, India